CAJ | 학술논문

目的：分析B超引导下不同浓度罗哌卡因腋路臂丛神经阻滞麻醉临床效果。方法：收集我院2012年11月-2013年11月期间诊治的上肢手术患者150例作为研究对象，采用随机分组的方式将患者分为A组、B组和C组，每组患者各50例。给予A组患者应用0.9%的甲磺酸罗哌卡因，给予B组患者应用0.6%的甲磺酸罗哌卡因，C组患者则采0.45%的甲磺酸罗哌卡因，对三组患者的临床效果进行分析对比。结果：研究结果显示，在麻醉效果方面，三组患者比较无明显差异（P>0.05），对比麻醉不良反应发现，C组患者的不良反应发生率明显低于A组和B组(P<0.05)。结论：在实施B 超引导下腋路臂丛神经阻滞的过程中应该应用小浓度的麻醉药物，可以有效的降低不良反应发生率，但不会对麻醉效果造成影响。
목적：분석B초인도하불동농도라고잡인액로비총신경조체마취림상효과。방법：수집아원2012년11월-2013년11월기간진치적상지수술환자150례작위연구대상，채용수궤분조적방식장환자분위A조、B조화C조，매조환자각50례。급여A조환자응용0.9%적갑광산라고잡인，급여B조환자응용0.6%적갑광산라고잡인，C조환자칙채0.45%적갑광산라고잡인，대삼조환자적림상효과진행분석대비。결과：연구결과현시，재마취효과방면，삼조환자비교무명현차이（P>0.05），대비마취불량반응발현，C조환자적불량반응발생솔명현저우A조화B조(P<0.05)。결론：재실시B 초인도하액로비총신경조체적과정중응해응용소농도적마취약물，가이유효적강저불량반응발생솔，단불회대마취효과조성영향。
Objective: To Analysis of B ultrasound-guided axil ary different concentrations of ropivacaine brachial plexus block anesthesia clinical effect. Methods:Col ect our hospital in November 2012 and November 2013 upper extremity surgery 150 patients for the study, the use of randomized patients were divided into the way groups A, B and C, each of 50 cases of patients in each group. A group of patients given application 0.9% ropivacaine mesylate given group B patients with 0.6% ropivacaine mesylate group C patients with the mining of 0.45%ropivacaine mesylate, the clinical effects of three groups of patients were analyzed and compared. Results: The results show that the effect of the anesthetic, the three groups of patients showed no significant difference (P> 0.05), contrast anesthesia adverse reactions found that the incidence of adverse reactions in patients in group C was significantly lower than that in group A and group B (P <0.05 ). Conclusion: In the B ultrasound-guided axil ary brachial plexus block should be applied in the process of implementing a smal concentration of anesthetic drugs, can effectively reduce the incidence of adverse reactions, but it wil not affect the anesthetic effect.