CAJ | 학술논문

目的观察麻醉药复合地佐辛对臂丛神经阻滞和术后镇痛效果的影响.方法 60例择期行单侧上肢手术患者随机分为对照组(C组)和地佐辛组(D组),每组30例.两组患者均在超声仪的引导下行肌间沟臂丛神经阻滞,C组患者给予局麻药30 ml,D组混合局麻药中加入地佐辛10 mg.观察两组阻滞起效时间、麻醉效果、感觉阻滞持续时间、感觉阻滞恢复后2h疼痛VAS评分、Ramsay镇静评分及不良反应(恶心、呕吐和头昏、呼吸抑制、尿潴留、瘙痒)情况.结果术后D组感觉阻滞持续时间为(7.1±1.1)h,长于C组的(4.5±0.8)h(t=10.47,P＜0.01);D组患者感觉神经恢复后2h的疼痛VAS评分为(1.7±0.7)分,低于C组的(3.9±1.0)分(=9.87,P＜0.01);两组均无不良反应现象.结论麻醉药复合地佐辛行臂丛神经阻滞,能延长阻滞持续时间,改善术后镇痛效果,无不良反应.
목적 관찰마취약복합지좌신대비총신경조체화술후진통효과적영향.방법 60례택기행단측상지수술환자수궤분위대조조(C조)화지좌신조(D조),매조30례.량조환자균재초성의적인도하행기간구비총신경조체,C조환자급여국마약30 ml,D조혼합국마약중가입지좌신10 mg.관찰량조조체기효시간、마취효과、감각조체지속시간、감각조체회복후2h동통VAS평분、Ramsay진정평분급불량반응(악심、구토화두혼、호흡억제、뇨저류、소양)정황.결과 술후D조감각조체지속시간위(7.1±1.1)h,장우C조적(4.5±0.8)h(t=10.47,P＜0.01);D조환자감각신경회복후2h적동통VAS평분위(1.7±0.7)분,저우C조적(3.9±1.0)분(=9.87,P＜0.01);량조균무불량반응현상.결론 마취약복합지좌신행비총신경조체,능연장조체지속시간,개선술후진통효과,무불량반응.
Objective To observe the influence of local-anaesthetic combined with dezocine on brachial plexus block and postoperative analgesia.Methods 60 patients scheduled for unilateral upper limb operation were randomly divided into two groups of C group and D group with 30 cases in each group.The brachial plexus block was performed under ultrasound guiding.Two groups received a bolus injection of local anesthetic 30ml,but the local bolus injection of D group consisted of Dezocine 10mg.The tine of sensory blocked producing effect,anesthesia effect,sensory blocked duration were observed.Two hours after sensory nerve recovered,the scores of VAS pain and Ramsay Sedation were recorded.Adverse reactions of perioperation were also observed(nausea,vomiting,dizzy,respiratory,urine retention,pruritus).Results The sensory blocked duration in D group was(7.1±1.1)h,which was significantly longer than that of C group[(4.5±0.8)h](t=10.47,P＜0.01);Two hours after sensory nerve recovered,the score of VAS pain in D group was(1.7±0.7)points,and significantly lower than that of C group[(3.9±1.0)points](t=9.87,P＜0.01).Both two groups had no adverse reactions.Conclusion Addition dezocine 10mg to local anesthetic solutions for interscalene brachial plexus block,it could prolong the sensory block duration,provide satisfactory postoperative analgesia,have no adverse reactions.