河北医学
河北醫學
하북의학
HEBEI MEDICINE
2014年
1期
90-92
,共3页
肩周炎%丙泊酚%臂丛麻醉
肩週炎%丙泊酚%臂叢痳醉
견주염%병박분%비총마취
Frozen shoulder%Propofol%Brachial plexus anesthesial
目的：了解在丙泊酚静脉麻醉与臂丛麻醉行肩周炎粘连松解术的安全性和实用性。方法：ASAⅠ-Ⅱ级患者56例，随机分成丙泊酚组（ A组）和臂丛麻醉组（ B组）各23例，在麻醉前均先行痛点阻滞及关节囊阻滞，比较麻醉后各组生命体征变化情况，以及两者的麻醉效果。结果：麻醉后，A组血压和心率较术前略有下降，但不超过20％，而呼吸于吸氧的情况下可以维持正常。 A组麻醉效果明显较B组完善。结论：丙泊酚静脉麻醉能安全应用于肩周炎粘连松解术，效果完善而舒适。
目的：瞭解在丙泊酚靜脈痳醉與臂叢痳醉行肩週炎粘連鬆解術的安全性和實用性。方法：ASAⅠ-Ⅱ級患者56例，隨機分成丙泊酚組（ A組）和臂叢痳醉組（ B組）各23例，在痳醉前均先行痛點阻滯及關節囊阻滯，比較痳醉後各組生命體徵變化情況，以及兩者的痳醉效果。結果：痳醉後，A組血壓和心率較術前略有下降，但不超過20％，而呼吸于吸氧的情況下可以維持正常。 A組痳醉效果明顯較B組完善。結論：丙泊酚靜脈痳醉能安全應用于肩週炎粘連鬆解術，效果完善而舒適。
목적：료해재병박분정맥마취여비총마취행견주염점련송해술적안전성화실용성。방법：ASAⅠ-Ⅱ급환자56례，수궤분성병박분조（ A조）화비총마취조（ B조）각23례，재마취전균선행통점조체급관절낭조체，비교마취후각조생명체정변화정황，이급량자적마취효과。결과：마취후，A조혈압화심솔교술전략유하강，단불초과20％，이호흡우흡양적정황하가이유지정상。 A조마취효과명현교B조완선。결론：병박분정맥마취능안전응용우견주염점련송해술，효과완선이서괄。
Objective:To investigate the safety and practicality of propofol intravenous anaesthesia and brachial plexus block on manipulation therapy for treating frozen shoulder .Method:56 cases of ASAⅠ-Ⅱpatients, were randomly divided into propofol group ( group A) and brachial plexus anesthesia group ( group B), with 23 cases in each group.In advance, before anesthesia were pain point block and capsular block, to compare changes of vital signs after anesthesia ,and the anesthetic effect of both.Result:After anesthesia , blood pressure and heart rate in group A was slightly decreased , but not more than 20%, while breathing in oxygen conditions can maintain normal .The anesthesia effect in group A was better in group B than perfect . Conclusion:Propofol for intravenous anesthesia can be safely applied to scapulohumeral periarthritis adhesi-olysis, It's effective and comfortable .
