摘要
目的:分析罗哌卡因配合地塞米松的标准化方案对单次肌间沟神经阻滞患者的麻醉效果。方法:选取2022年1月—2024年6月期间在南京江北医院接受单次肌间沟神经阻滞下行桡骨远端骨折手术的80例患者作为研究对象,随机分为对照组和观察组,各40例。对照组采用0.5%盐酸罗哌卡因(20 mL)实施肌间沟神经阻滞,观察组采用0.5%盐酸罗哌卡因(25 mL)配合10 mg地塞米松实施肌间沟神经阻滞,对比两组麻醉效果。结果:观察组术后1、6、12、24小时的VAS评分、追加镇痛药率、麻醉持续时间及不良反应发生率均较对照组低(P<0.05)。结论:对单次肌间沟神经阻滞下行桡骨远端骨折手术患者采取罗哌卡因配合地塞米松的标准化方案,麻醉效果显著。
Objective:To analyze the anesthetic effect of ropivacaine combined with dexamethasone in patients with single intermuscular groove nerve block.Methods:A total of 80 patients with distal radius fracture who received a single intermuscular furrow nerve block in Nanjing Jiangbei Hospital from January 2022 to June 2024 were selected as study objects and randomly divided into the control group and the observation group,with 40 patients in each group.The control group received 0.5%ropivacaine hydrochloride(20 mL)to implement intermuscular groove nerve block,and the observation group received 0.5%ropivacaine hydrochloride(25 mL)and 10 mg dexamethasone to implement intermuscular groove nerve block.The anesthetic effect of the two groups was compared.Results:VAS scores at 1,6,12 and 24 hours after operation,rate of additional analgesics,duration of anesthesia and incidence of adverse reactions in the observation group were lower than those in the control group(P<0.05).Conclusion:Ropivacaine combined with dexamethasone is a standard scheme for patients with distal radius fracture under single intermuscular groove nerve block with significant anesthetic effect.
作者
张开然
ZHANG Kairan(Nanjing Jiangbei Hospital)
出处
《中国标准化》
2025年第24期273-276,共4页
China Standardization
关键词
罗哌卡因
地塞米松
桡骨远端骨折
单次肌间沟神经阻滞
ropivacaine
dexamethasone
distal radius fracture
single intermuscular groove nerve block
