罗哌卡因复合吗啡蛛网膜下腔麻醉用于下肢 骨科手术的临床研究
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摘要：目的: 探讨罗哌卡因复合吗啡蛛网膜下腔麻醉用于下肢骨科手术的临床疗效。方法:选取我院收治的56例下肢骨科手术患者，将其随机分为观察组和对照组，每组28例，观察组采用罗哌卡因复合吗啡，对照组采用罗哌卡因加镇痛泵，比较两组患者镇痛效果及不良反应的发生情况。结果: 观察组优良率及有效率分别是78.6%、96.4%，对照组分别为53.6%、71.4%，两组比较有明显差异，P<0.05，观察组镇痛时间在24h以上的比例明显大于对照组，两组比较有统计学意义，P<0.05。观察组不良反应发生率为3.6%，对照组为32.1%，两组比较有明显差异，P<0.01。结论： 罗哌卡因复合吗啡蛛网膜下腔麻醉用于下肢骨科手术安全有效，简单实用，值得临床推广使用。
关键词：罗哌卡因 吗啡 网膜下腔麻醉 下肢骨科手术
Abstract：Objective: To investigate ropivacaine clinical efficacy of morphine spinal anesthesia for lower limb orthopedic surgery. Methods: 56 cases in our hospital lower limb orthopedic surgery were randomly divided into observation group and control group 28 cases, the observation group ropivacaine and morphine, the control group ropivacaine analgesia Kayin Jia the occurrence of a pump, two groups were compared the analgesic effect and adverse reactions. Results: The excellent rate and efficiency were 78.6%, 96.4% in the control group were 53.6%, 71.4%, comparing the two groups were significantly different, P <0.05, the ratio of the observation group duration of analgesia was significantly greater than in more than 24h the control group, the two groups was statistically significant, P <0 ......
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