CAJ | 학술논문

目的：1.5mg地佐辛复合0.375%罗哌卡因与1mg地佐辛复合0.375%罗哌卡因应用于臂丛神经阻滞的临床镇痛效果比较。方法40例上肢手术患者，ASA分级Ⅰ～Ⅱ级，随机分成A组和B组，由同一位资深麻醉医师操作。观察麻醉操作的时间、术前、术中和术后24h的运动阻滞时间、镇痛时间和不良反应情况。结果发现1.5mg地佐辛复合0.375%罗哌卡因在镇痛总时间优于1mg地佐辛复合0.375%罗哌卡因有统计学意义P<0.05。结论臂丛神经阻滞肌间沟腋路两点阻滞时间比单点时间长，但是1.5mg地佐辛复合0.375%罗哌卡因40ml注射液可明显提高臂丛神经阻滞的镇痛效果及完善率，缩短阻滞完善时间，不增加并发症的发生，值得临床推广应用。
목적：1.5mg지좌신복합0.375%라고잡인여1mg지좌신복합0.375%라고잡인응용우비총신경조체적림상진통효과비교。방법40례상지수술환자，ASA분급Ⅰ～Ⅱ급，수궤분성A조화B조，유동일위자심마취의사조작。관찰마취조작적시간、술전、술중화술후24h적운동조체시간、진통시간화불량반응정황。결과발현1.5mg지좌신복합0.375%라고잡인재진통총시간우우1mg지좌신복합0.375%라고잡인유통계학의의P<0.05。결론비총신경조체기간구액로량점조체시간비단점시간장，단시1.5mg지좌신복합0.375%라고잡인40ml주사액가명현제고비총신경조체적진통효과급완선솔，축단조체완선시간，불증가병발증적발생，치득림상추엄응용。
Objective To compare the ef icacy of Brachial Plexus analgesia with 1mg Dezocine complicatied with 0.375%Roprivacaine and 1.5mg Dezocine complicatied with 0.375%Roprivacaine. Methods 40 ASAⅠ~ⅡPeople going upper limb operation,were randowly divided into group A and B,20 cases in each groups. The degree of motion block and side ef ects were observed respectively with 24 hours after operation and during the operation time. Results There were no significant dif erences in both the scores VAS and Bromage and the incidence of the sideef ects between two groups (p>0.05). The ef icacy of patient control ed Brachial Plexus with 1.5mg Dezocine complicated 0.375%Roprivacaine,in the pain inhibinent opera,is superior to 1mg Dezocine complicated 0.375%Roprivacaine;and it is statistical,P<0.05. Conclusion A comparison of ef icacy of Brachial Plexus with 1mg or 1.5mg Dezocine complicatied with 0.375%Roprivacaine during the upper limb operation.