中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
13期
17-18
,共2页
潘卫堂%程碧娜%刘荣芳%叶强
潘衛堂%程碧娜%劉榮芳%葉彊
반위당%정벽나%류영방%협강
罗哌卡因%布托啡诺%臂丛阻滞
囉哌卡因%佈託啡諾%臂叢阻滯
라고잡인%포탁배낙%비총조체
Ropivcaine%Butorphanol%Brachial plexus block
目的：观察罗哌卡因复合少量布托啡诺用于臂丛神经阻滞的麻醉效果和安全性。方法：选择笔者所在医院收治的行上肢手术的80例患者，均为ASAⅠ~Ⅱ级。采用随机数字表法将其分为A、B两组，各40例。A组给予0.5%罗哌卡因20 ml+布托啡诺1 mg，B组给予0.5%罗哌卡因20 ml，行臂丛阻滞，记录阻滞前、阻滞后10 min、阻滞后30 min、阻滞后60 min时收缩压(SBP)、舒张压(DBP)、心率(HR)的变化，并进行麻醉满意度评分及不良反应记录。结果：两组各时间点的SBP、DBP、HR比较差异无统计学意义(P>0.05)，A组麻醉满意度明显优于B组，A组镇痛持续时间明显长于B组，差异均有统计学意义(P<0.05)。结论：罗哌卡因复合少量布托啡诺可取得良好的麻醉效果，且能延长麻醉镇痛持续时间。
目的：觀察囉哌卡因複閤少量佈託啡諾用于臂叢神經阻滯的痳醉效果和安全性。方法：選擇筆者所在醫院收治的行上肢手術的80例患者，均為ASAⅠ~Ⅱ級。採用隨機數字錶法將其分為A、B兩組，各40例。A組給予0.5%囉哌卡因20 ml+佈託啡諾1 mg，B組給予0.5%囉哌卡因20 ml，行臂叢阻滯，記錄阻滯前、阻滯後10 min、阻滯後30 min、阻滯後60 min時收縮壓(SBP)、舒張壓(DBP)、心率(HR)的變化，併進行痳醉滿意度評分及不良反應記錄。結果：兩組各時間點的SBP、DBP、HR比較差異無統計學意義(P>0.05)，A組痳醉滿意度明顯優于B組，A組鎮痛持續時間明顯長于B組，差異均有統計學意義(P<0.05)。結論：囉哌卡因複閤少量佈託啡諾可取得良好的痳醉效果，且能延長痳醉鎮痛持續時間。
목적：관찰라고잡인복합소량포탁배낙용우비총신경조체적마취효과화안전성。방법：선택필자소재의원수치적행상지수술적80례환자，균위ASAⅠ~Ⅱ급。채용수궤수자표법장기분위A、B량조，각40례。A조급여0.5%라고잡인20 ml+포탁배낙1 mg，B조급여0.5%라고잡인20 ml，행비총조체，기록조체전、조체후10 min、조체후30 min、조체후60 min시수축압(SBP)、서장압(DBP)、심솔(HR)적변화，병진행마취만의도평분급불량반응기록。결과：량조각시간점적SBP、DBP、HR비교차이무통계학의의(P>0.05)，A조마취만의도명현우우B조，A조진통지속시간명현장우B조，차이균유통계학의의(P<0.05)。결론：라고잡인복합소량포탁배낙가취득량호적마취효과，차능연장마취진통지속시간。
Objective:To observe the clinical effects of Ropivcaine combined with Butorphanol on brachial plexus block.Method:Selecting the author’s hospital admission line of upper extremity surgery of 80 patients,were ASAⅠ-Ⅱlevel.By using the method to random number table were divided into A,B groups,40 cases in each.A group was given 0.5%Ropivcaine 20 ml+Butorphanol 1 mg,B group was given 0.5%Ropivcaine 20 ml,line of brachial plexus block,brachial plexus block,10 min after record before the block,block after 60 min,block after 30 min,block the systolic blood pressure (SBP),diastolic blood pressure (DBP),the change of heart rate (HR),and anesthesia satisfaction score and record adverse reactions.In front of the block,block after 10 ,30 ,60 minutes,recording systolic blood pressure(SBP),diastolic blood pressure(DBP),the change of heart rate(HR),and anesthesia satisfaction score and record adverse reactions.Result:Two groups of each point time of SBP,DBP,HR comparison difference has no statistical significance(P>0.05).The satisfaction of anesthesia in A group was better than that in B group.The duration of anesthesia in A group was significantly longer than that in B group,the difference was statistically significant(P<0.05).Conclusion:The analgesia effect of Ropivcaine combined with Butorphanol on brachial plexus block is good,can prolong the anesthesia time.
