罗哌卡因复合舒芬太尼用于开胸手术后硬膜外镇痛的临床观察

目的:探讨罗哌卡因复合舒芬太尼用于开胸手术病人术后镇痛的效果.方法:选择ASAⅠ-Ⅱ级全麻下行开胸手术的病人60例,随机分为研究组和对照组,每组30例.研究组采用罗哌卡因复合舒芬太尼术后镇痛,给予0.2%罗哌卡因加0.6μg/mL舒芬太尼硬膜外连续输注,单次给药剂量0.5mL,锁定时间15min,背景剂量为2.0mL/...

Clinical Observation on the Effect of Ropivacaine Combined with Sufentanil on Postoperative Epidural Analgesia after Thoracotomy

Objective： To explore the analgesic effects of ropivacaine combined with sufentanil on patinents after thoracotomy. Method ： The 60 patients after thoraeotomy were randomly divided into 2 groups （ n = 30） , the experimental group and control group. Ate surgery ,0.2% ropivaeaine combined with 0.6 μg/mL sufentanil were continuously infused into the control group, single dose 0. 5mL within 15min , background dose of 2.0rnL/h. 0.5mg/mL, lockout time 5rain, background dose 1.0mL/h, After 24h ,48h ,VAS score , pulmonary function, blood gas analysis and the main adverse reactions were recorded. Result： Compared with controls ,the pulmonary function and PaO2 of the experimental group were significantly higher （ P〈0. 05） ,the main adverse reactions were significantly lower（P〈0.05） ,while the 48h VAS score were not affected （P〉0.05）. Conclusion： Ropvacaine combined with sufentanil were used on patients by epidural injection, can significantly improve pulmonary function and low adverse reactions .