The Postoperative Analgesia Of Continuous Brachial Plexus Block For Arthroscopic Rotator Cuff Repair

Purpose:To observed the analgesia and adverse reactions of continuous patients-controlled interscalene analgesia with patient-controlled intravenous analgesia for the arthroscopic rotator cuff repairMethods:Select the60patients with ASA Ⅰ-Ⅱ anesthesia in general anesthesia for the arthroscopic rotator cuff repair were randomly divided into2groups with30cases each. They were continuous patients-controlled interscalene analgesia (PCNA) and patient-controlled intravenous analgesia(PCA).PCNA with0.2%ropivacaine+saline to100ml, background parameters4ml/h, a single dose of0.5ml, lock15min.24hours after dosing. PCA with fentanyl lmg+metoclopramide20mg+saline to100ml, background parameters1.5ml/h, a single dose of3.5ml, lock15min. Record the resting VAS score6h,12h,24h,48h after surgery, and the monving VAS score24h and48h after surgery,and adverse side effects of postoperative dizziness, nausea, vomiting and itchy skin. And the patient’s analgesic satisfaction survey48h after surgery.Result:PCNA after surgery6h,12h in resting and24h,48h in moving VAS score was significantly lower than the PCA(P<0.05). PCNA were dizziness, nausea, vomiting and the incidence is lower than the PCA, the difference was statistically significant (P<0.05). The PCNA of patients satisfaction is100%, the the PCA of patients satisfaction is76%, the difference was statistically significant (P<0.05).Conclusions:In the postoperative analgesia of arthroscopic rotator cuff repair,the analgesic effect and patient satisfaction of continuous patients-controlled interscalene analgesia are better than patient-controlled intravenous analgesia.And the dizziness, nausea, vomiting is lower, can be clinical reference.