中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
11期
107-109
,共3页
麻醉效果%上肢手术%臂丛神经阻滞%罗哌卡因%低浓度
痳醉效果%上肢手術%臂叢神經阻滯%囉哌卡因%低濃度
마취효과%상지수술%비총신경조체%라고잡인%저농도
Anesthesia effect%Upper limb operation%Brachial plexus block%Ropivacaine%Low concentration
目的：探讨上肢手术中进行B超定位下低浓度罗哌卡因臂丛神经阻滞的可行性。方法入选2013年4月~2014年4月本院行上肢手术的患者90例，按麻醉方式分为实验组、对照组，每组45例。实验组进行低浓度罗哌卡因臂丛神经阻滞，对照组进行常规配制浓度罗哌卡因臂丛神经阻滞，比较两组患者的恢复运动时间、麻醉持续镇痛时间、镇痛起效时间等，臂丛神经阻滞优良率，麻醉后不良反应发生率。结果实验组的恢复运动时间显著短于对照组，差异有统计学意义(P<0.05)，麻醉持续镇痛时间、镇痛起效时间与对照组比较，差异无统计学意义(P>0.05)；实验组、对照组的臂丛神经阻滞优良率分别为88.9%、93.3%，两组比较，差异无统计学意义(P>0.05)；实验组、对照组的麻醉后不良反应发生率分别为4.4%、24.5%，两组比较，差异有统计学意义(P<0.05)。结论上肢手术患者在B超定位下行低浓度罗哌卡因臂丛神经阻滞，效果确切，术后不良反应少，值得临床推广。
目的：探討上肢手術中進行B超定位下低濃度囉哌卡因臂叢神經阻滯的可行性。方法入選2013年4月~2014年4月本院行上肢手術的患者90例，按痳醉方式分為實驗組、對照組，每組45例。實驗組進行低濃度囉哌卡因臂叢神經阻滯，對照組進行常規配製濃度囉哌卡因臂叢神經阻滯，比較兩組患者的恢複運動時間、痳醉持續鎮痛時間、鎮痛起效時間等，臂叢神經阻滯優良率，痳醉後不良反應髮生率。結果實驗組的恢複運動時間顯著短于對照組，差異有統計學意義(P<0.05)，痳醉持續鎮痛時間、鎮痛起效時間與對照組比較，差異無統計學意義(P>0.05)；實驗組、對照組的臂叢神經阻滯優良率分彆為88.9%、93.3%，兩組比較，差異無統計學意義(P>0.05)；實驗組、對照組的痳醉後不良反應髮生率分彆為4.4%、24.5%，兩組比較，差異有統計學意義(P<0.05)。結論上肢手術患者在B超定位下行低濃度囉哌卡因臂叢神經阻滯，效果確切，術後不良反應少，值得臨床推廣。
목적：탐토상지수술중진행B초정위하저농도라고잡인비총신경조체적가행성。방법입선2013년4월~2014년4월본원행상지수술적환자90례，안마취방식분위실험조、대조조，매조45례。실험조진행저농도라고잡인비총신경조체，대조조진행상규배제농도라고잡인비총신경조체，비교량조환자적회복운동시간、마취지속진통시간、진통기효시간등，비총신경조체우량솔，마취후불량반응발생솔。결과실험조적회복운동시간현저단우대조조，차이유통계학의의(P<0.05)，마취지속진통시간、진통기효시간여대조조비교，차이무통계학의의(P>0.05)；실험조、대조조적비총신경조체우량솔분별위88.9%、93.3%，량조비교，차이무통계학의의(P>0.05)；실험조、대조조적마취후불량반응발생솔분별위4.4%、24.5%，량조비교，차이유통계학의의(P<0.05)。결론상지수술환자재B초정위하행저농도라고잡인비총신경조체，효과학절，술후불량반응소，치득림상추엄。
Objective To study the feasibility of brachial plexus block in the operation of upper limb with low concen-tration of ropivacaine under B ultrasound localization. Methods 90 cases with upper limb operation were selected in our hospital from April 2013 to April 2014,and they were divided into experimental group (n=45) and control group (n=45) according to anesthesia way, the experimental group was given low concentration of ropivacaine in brachial plexus block,the control group was given routine preparation concentration of ropivacaine in brachial plexus block,movement recovery time,anesthesia cotinuous analgesia time,and analgesic onset time and so on,excellent and good rate of brachial plexus block,and the incidence rate of adverse reaction after anesthesia of between two groups were compared. Results The restoration movement time of experimental group was significantly shorter than control group (P<0.05),and there was no statistical difference of anesthesia cotinuous analgesia time,analgesic onset time between two groups (P>0.05). The excellent and good rate brachial plexus block in experimental group and the control group was 88.9% and 93.3%respectively,and there was no statistical differencebetween two groups (P>0.05);after anesthesia,incidence rate of ad-verse reaction of experimental group and the control group was 4.4% and 24.5% respectively,and there was a statistical differencebetween two groups (P<0.05). Conclusion The patients with upper limb surgery given brachial plexus block with low concentration of ropivacaine under B ultrasound localization has an exact effect,which have few postoperative adverse reaction,it is worthy of clinical promotion.
