Application of different doses of dexmedetomidine combined with ropivacaine in fascia illiaca compartment block in total hip arthroplasty
10.3969/j.issn.1006-5725.2017.10.038
- VernacularTitle:不同剂量右美托咪啶联合罗哌卡因髂筋膜间隙阻滞在全髋关节置换术中的应用
- Author:
Hao CHU
;
Ye ZHANG
;
Shengbin WANG
- Keywords:
Dexmedetomidine;
fascia illiaca compartment block;
Total hip arthroplasty
- From:
The Journal of Practical Medicine
2017;33(10):1673-1677
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of different doses of dexmedetomidine combined with ropiva-caine for ultrasound-guided fascia iliaca compartment block on postoperative analgesia and rehabilitation in patients undergoing total hip replacement surgery. Methods 80 patients with ASAⅠ~Ⅱundergoing total hip arthroplasty were ramdonly divided into 4 groups. Records of patients with ultrasound guided fascia iliaca compartment block onset time,block fading time,VAS at 4 h,8 h,12 h,24 h,48 h;duration of operation,intraoperative remifent-anil and propofol requirement;24 h and 48h of sufentanil use;after the operation were recorded for the first time , ambulation time,hospitalization time and observe whether bradycardia,intraoperative awareness and other adverse reactions. Results Compared with group A and B,the onset time of C were shorter(P<0.05);the VAS was less (P<0.05);the remifentanil equirement was significantly was reduced(P<0.05);the amount of sufentanil after operation 24 h and 48 h was reduced(P<0.05);the first time out of bed time and total hospitalization time was shorter(P < 0.05);patient satisfaction increased(P < 0.05);The extubation time was significantly longer and the occurrences of tachycardia were significantly increased in group D compared to other groups respectively. Conclusion 1.0μg/kg dexmedetomidine combined with 0.3%ropivacaine ultrasound-guided fascia iliaca compart-ment block can provide better postoperative analgesic and recover rapidly with fewer side effects in total hip replace-ment surgery.
