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目的探讨舒芬太尼复合罗哌卡因用于前列腺经尿道电切汽化术的临床效果。方法选取商丘市第一人民医院2013年5月—2015年9月收治的120例前列腺经尿道电切汽化术治疗患者作为研究对象,将患者随机均分为A、B、C三组,A组患者采取罗哌卡因麻醉,B组患者采取罗哌卡因联合芬太尼麻醉,C组患者采取舒芬太尼联合罗哌卡因麻醉,观察对比三组患者持续镇痛时间、患者运动神经恢复时间及不良反应情况。结果 C组患者麻醉效果显著优于A组及B组,其镇痛持续时间长于A组、B组,运动神经恢复时间短于A组、B组,而B组患者镇痛时间及神经恢复时间均优于A组,差异具有统计学意义,P<0.05;A组患者总不良反应率为5.00%,B组患者为2.50%,C组患者为2.50%,三组不良反应均较少,安全可行,差异无统计学意义(P>0.05)。结论舒芬太尼符合罗哌卡因麻醉效果好,镇痛时间长,患者运动神经恢复快,不良反应少。
Objective To investigate the clinical efficacy of sufentanil combined with ropivacaine for transurethral transurethral vaporization of the prostate. Methods A total of 120 patients undergoing transurethral electrovaporization of the prostate treated by Shangqiu First People’s Hospital from May 2013 to September 2015 were randomly divided into three groups: A, B and C, group A Patients received ropivacaine anesthesia, patients in group B were treated with ropivacaine plus fentanyl, and patients in group C were given sufentanil combined with ropivacaine. The duration of analgesia was compared between the three groups. Patients’ motor nerves Recovery time and adverse reactions. Results The anesthesia effects of group C were significantly better than those of group A and group B. The duration of analgesia was longer than that of group A and group B. The recovery time of motor nerve was shorter than that of group A and group B. The pain relief time and nerve recovery time The difference was statistically significant (P <0.05). The total adverse reaction rate was 5.00% in group A, 2.50% in group B and 2.50% in group C, with fewer adverse reactions and safety Feasible, the difference was not statistically significant (P> 0.05). Conclusion sufentanil in line with ropivacaine good anesthesia, analgesic time, patients with motor nerve recovery faster, fewer adverse reactions.