不同浓度罗哌卡因用于超声引导下肌间沟臂丛神经阻滞的麻醉效果

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    摘要    [摘要 ] 目的 探讨不同浓度罗哌卡因用于超声引导下肌间沟臂丛神经阻滞的麻醉效果分析。 方法 选择 122例上肢手术患者为研究对象,以数字随机分组方式分为两组,均接受超聲引导下肌间沟臂丛神经阻滞,对照组给予 0.3%浓度罗哌卡因,研究组给予 0.5%浓度罗哌卡因。 结果 研究组麻醉完善率、尺神经完全阻滞率、桡神经完全阻滞率、正中神经完全阻滞率、肌皮神经完全阻滞率均高于对照组( P<0.05);研究组镇痛持续时间、运动阻滞恢复时间均长于对照组( P<0.05);研究组麻醉起效时间短于对照组( P<0.05)。 结论 0.5%浓度罗哌卡因用于超声引导下肌间沟臂丛神经阻滞的麻醉效果优于 0.3%浓度罗哌卡因。    [关键词 ] 罗哌卡因;超声引导;肌间沟臂丛神经;阻滞;麻醉效果 [Abstract] Objective To investigate the anesthetic effect of different concentrations of ropivacaine in the application of ultrasound-guided intermuscular groove brachial plexus block. Methods 122 patients with upper extremity surgery were randomly divided into two groups: the control group received 0.3% ropivacaine and the study group received 0.5% ropivacaine. Results the complete anesthesia rate, complete ulnar nerve block rate, complete radial nerve block rate, complete median nerve block rate and complete myocutaneous nerve block rate in the study group were all higher than those in the control group (P < 0.05); the duration of analgesia and recovery time of motor block in the study group were longer than those in the control group (P < 0.05); the onset time of anesthesia in the study group was shorter than that in the control group (P < 0.05). Conclusion 0.5% ropivacaine is better than 0.3% ropivacaine in anesthesia of brachial plexus block under the guidance of ultrasound.
    作者 冯艳娟
    出处 《世界复合医学》 2020年8期
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    出版日期 2020年09月14日(中国Betway体育网页登陆平台首次上网日期,不代表论文的发表时间)
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