罗哌卡因局部浸润联合右美托咪定预防性镇痛对膝关节镜手术后镇痛的影响

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Abstract Objective To investigate the effect of ropivacaine local infiltration combined with dexmetidine preventive analgesia on postoperative analgesia after knee arthroscopy.Methods From October 2016 to October 2017,120 patients undergoing arthroscopic knee surgery treated in our hospital were selected as the subjects,and randomly divided into two groups,60 cases in each group.The control group was treated with ropivacaine local invasive preventive analgesia,the observation group was treated with ropivacaine local infiltration combined with dexmetidine for prophylactic analgesia.The postoperative analgesia effect,analgesic drug consumption,adverse reactions were compared between the two groups.Results The VAS scores of 1,4,8,12,24 h and 48 h in the observation group were significantly lower than those in the control group,the difference was statistically significant(P＜0.05).In the observation group,the postoperative analgesic and 24 h analgesic drug consumption was significantly better than the control group,the difference was statistically significant(P＜0.05).There was no significant difference in the total incidence of nausea and vomiting,deep sedation,wakening and restlessness in the observation group (P＞0.05).Conclusion Ropivacaine local infiltration combined with dexmetidine prophylactic analgesia can significantly improve the postoperative analgesia of knee arthroscopy,reduce the amount of analgesic drugs,prolong the analgesic time,and the adverse reaction is mild.It has positive clinical significance.

Key words： Knee arthroscopic surgery Ropivacaine Local infiltration Dexmetomidine Preventive analgesia Postoperative analgesic effect

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	Articles by authors
	WANG Li-ping
	REN Li
	ZENG Lu-lu
	LI Dong-qing
	LIANG Gen-qiang
	XUAN Wen-hu

Cite this article:

WANG Li-ping,REN Li,ZENG Lu-lu, et al. The influence of ropivacaine on the analgesia of the postoperative analgesia of the knee arthroscopic surgery with partial infiltration of ropivacaine combined with dexmeidine[J]. 中国当代医药, 2018, 25(21): 76-78.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I21/76

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