咪达唑仑与吗啡辅助局麻膝关节镜手术的对比研究

Local anesthesia arthroscopy procedures of knee joint accompanied by midazolam and morphine—a contrast study

  • 摘要: 目的: 研究膝关节腔内联合应用利多卡因与吗啡,同时术前静脉应用咪达唑仑在局麻下关节镜手术中的镇痛效果。方法: 采用随机双盲对照的试验方法,将105例膝关节镜手术患者分为3组:利多卡因组(A组)、利多卡因+咪达唑仑组(B组)、利多卡因+咪达唑仑+吗啡组(C组),采用视觉模拟评分(VAS评分)对患者术中的镇痛效果进行评估。结果: B组与C组的VAS评分明显优于A组,其差异有统计学意义;C组的VAS评分低于B组,但其差异无统计学意义。结论:局麻下关节镜手术使用咪达唑仑可以加强利多卡因的镇痛效果,术中有利于肌肉松弛,减轻患者恐惧心理,利于手术操作。

     

    Abstract: Ojbective: To investigate the analgesic effects of intra-articular lidocaine and morphine accompanied with preoperative intravenous midazolam following local anesthesia arthroscopy procedures of knee joint.Methods: In this double-blind control study,105 patients were ready to undergo local anesthesia arthroscopy procedures of knee joint.They were randomized in three equal number groups: A(Lidocaine),B(Lidocaine and Midazolam) and C(Lidocaine,Midazolam and Morphine).Pain levels during the operation were measured by the Visual Analog Scale(VAS).Results: The VAS scores of Group B and C were significantly lower than that of Group A(P<0.05).The scores of Group C was a little lower than that of Group B.However,there was no statistical significance between them(P>0.05).Conclusion: Preoperative intravenous midazolam can enhance the analgesic effects of lidocaine.It is also helpful for the patients to keep relaxed and makes the operation easier.

     

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