罗哌卡因复合羟考酮收肌管阻滞在膝关节镜手术ERAS中的应用

目的 观察罗哌卡因复合羟考酮收肌管阻滞在膝关节镜手术快速康复（ERAS）中的应用效果。方法 选取120例拟行单侧膝关节镜手术治疗的患者为观察对象，并随机分为复合组与对照组，复合组予以罗哌卡因复合羟考酮收肌管阻滞，对照组单予以患者罗哌卡因收肌管阻滞。观察比较两组患者的疼痛程度，采用视觉模拟评分（VAS）予以评估。观察两组患者的不良反应及满意度。结果 复合组患者术后8 h、12 h、24 h、36 h、48 h的VAS评分均明显低于对照组，差异有统计学意义（P＜0.05）；两组患者的呕吐、恶心、局麻药中毒等不良反应发生率比较，差异无统计学意义（P＞0.05）；复合组患者的满意度明显高于对照组（P＜0.05）。结论 罗哌卡因复合羟考酮收肌管阻滞在膝关节镜手术后快速康复中发挥积极作用，镇痛效果明显且安全性较高。

Application of Ropivacaine Combined with Hydroxycodone Adductor Tube Block in ERAS of Knee Arthroscopy

Objective To observe the effect of ropivacaine combined with hydroxycodone adductor tube block in rapid rehabilitation of (ERAS)under knee arthroscopy.Methods 120 patients undergoing unilateral knee arthroscopy were randomly divided into compound group and control group.The compound group received ropivacaine combined with hydroxycodone adductor tube block and the control group was treated with ropivacaine adductor tube block.The pain degree of the two groups was evaluated by visual analogue score (VAS).Adverse reactions and satisfaction were observed in both groups.Results The VAS scores of the patients in the composite group were significantly lower than those in the control group at 8 h,12 h,24 h,36 h,and 48 h after surgery,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions such as vomiting,nausea and local anesthetic poisoning between the two groups(P>0.05).The satisfaction of patients in the composite group was significantly higher than that of the control group(P<0.05).Conclusion Ropivacaine combined with hydroxycodone adductor block plays an active role in rapid recovery after knee arthroscopy.The analgesic effect is obvious and the safety is high.