CAJ | 학술논문

目的对布托啡诺在臂丛麻醉患者中的镇痛作用进行观察并探究。方法回顾性分析我院自2012年2月～2013年1月收治的手外科手术患者98例，根据患者及其家属选择的麻醉方法，将患者分为实验组49例和对照组49例，麻醉前15min实验组静脉注射布托啡诺1mg；同时对照组静脉注射盐酸哌替丁50mg，手术开始前重复上述操作一次。监测并记录患者麻醉起效时间、麻醉持续时间、麻醉效果和术后2、4、8、12、24h的VAS评分。比较两组患者上述指标的差异，并据此评定布托啡诺对臂丛麻醉患者的镇痛作用。结果实验组麻醉效果明显优于对照组，麻醉持续时间和较对照组更长，起效时间比对照组更短。且实验组术后2、4、8、12、24h的VAS评分明显优于对照组，上述比较项差异均具统计学意义（P＜0.05）。结论布托啡诺在臂丛麻醉患者中镇痛作用显著，是一种理想的麻醉方法。
목적대포탁배낙재비총마취환자중적진통작용진행관찰병탐구。방법회고성분석아원자2012년2월～2013년1월수치적수외과수술환자98례，근거환자급기가속선택적마취방법，장환자분위실험조49례화대조조49례，마취전15min실험조정맥주사포탁배낙1mg；동시대조조정맥주사염산고체정50mg，수술개시전중복상술조작일차。감측병기록환자마취기효시간、마취지속시간、마취효과화술후2、4、8、12、24h적VAS평분。비교량조환자상술지표적차이，병거차평정포탁배낙대비총마취환자적진통작용。결과실험조마취효과명현우우대조조，마취지속시간화교대조조경장，기효시간비대조조경단。차실험조술후2、4、8、12、24h적VAS평분명현우우대조조，상술비교항차이균구통계학의의（P＜0.05）。결론포탁배낙재비총마취환자중진통작용현저，시일충이상적마취방법。
Objective To observe and explore the analgesic effect of butorphanol for patients receiving brachial plexus anesthesia. Methods Ninety-eight patients who received hand surgery in our hospital from February 2012 to January 2013 were analyzed retrospectively and divided into the experimental group with 49 patients and the control group with 49 patients according to the anesthesia method selected by the patients and their families.Fifteen minutes before the anesthesia,the experimental group was given the intravenous injection of 1 mg of butorphanol and meanwhile the control group was given the intravenous injection of 50 mg of hydrochloric acid;The above procedures were repeated immediately before the surgery.The anesthesia onset time,anesthesia endurance time,anesthetic effect and postoperative 2-hour,4-hour,8-hour,12-hour and 24-hour VAS scores were monitored and recorded.The differences between the two groups in the above indicators were compared,based on which the analgesic effect of butorphanol for patients receiving brachial plexus anesthesia was evaluated. Results The experimental group was significantly better than the control group in the anesthetic effect and anesthesia endurance,but shorter in the onset time.And the experimental group was significantly better than the control group in the postoperative 2-hour,4-hour,8-hour,12-hour and 24-hour VAS scores,with statistically significant differences in the above indicators (P < 0.05). Conclusion Butorphanol shows significant anesthetic effect for the patients receiving brachial plexus anesthesia and therefore is an ideal anesthetic method.