CAJ | 학술논문

目的：分析相同剂量不同浓度罗哌卡因在肌间沟径路臂丛阻滞中的效果。方法120例患者分甲乙丙三组各40例。对患者采用神经刺激仪进行定位，然后进行肌间沟径路臂丛神经阻滞；使用生理盐水进行稀释，甲乙丙三组的药液分别为：20ml(0.75%)、30ml(0.5%)、40ml(0.375%)。结果三组患者进行臂丛阻滞前、后，其生命体征都比较平稳。感觉阻滞：甲起效最快，但阻滞范围窄，持续时间长；丙组最慢，但阻滞范围宽，且恢复快。三组对肘关节的运动阻滞起效比较，甲最快，丙最慢。丙不良反应几率最高。结论相同剂量不同浓度罗哌卡因在肌间沟径路臂丛阻滞中的效果不同，差异较大。
목적：분석상동제량불동농도라고잡인재기간구경로비총조체중적효과。방법120례환자분갑을병삼조각40례。대환자채용신경자격의진행정위，연후진행기간구경로비총신경조체；사용생리염수진행희석，갑을병삼조적약액분별위：20ml(0.75%)、30ml(0.5%)、40ml(0.375%)。결과삼조환자진행비총조체전、후，기생명체정도비교평은。감각조체：갑기효최쾌，단조체범위착，지속시간장；병조최만，단조체범위관，차회복쾌。삼조대주관절적운동조체기효비교，갑최쾌，병최만。병불량반응궤솔최고。결론상동제량불동농도라고잡인재기간구경로비총조체중적효과불동，차이교대。
Objective To analyze the different concentrations of the same dose of ropivacaine interscalene brachial plexus block in the pathway effect. Methods 120 patients were divided into three groups of 40 cases of ABC. For patients with nerve stimulator to locate, and then pathways interscalene brachial plexus block; using saline to dilute liquid B, and C groups, respectively: 20ml (0.75%), 30ml (0.5%), 40ml (0.375%). Results for brachial plexus block three groups of patients before and after their vital signs are relatively stable. Sensory block: A onset fastest, but blocking a narrow range of long duration; Group C of the slowest, but block range, and rapid recovery. Three groups on the elbow motor block onset compared to the fastest A, C is the slowest. C. Adverse reactions highest probability. Conclusion same dose at different concentrations of ropivacaine interscalene brachial plexus block in the pathway different effects, quite different.