首页|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

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

扫码查看
目的 分析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.方法 随机选取福建省罗源县医院于2021年8月—2023年8月接受超声引导下肌间沟臂丛神经阻滞麻醉的80例患者为研究对象,按照罗哌卡因浓度不同,分为对照组(0.3%罗哌卡因)和观察组(0.5%罗哌卡因),各40例.比较两组的生命体征变化、麻醉指标水平及不良反应发生率.结果 两组的平均动脉压、心率比较,差异无统计学意义(P均>0.05);观察组麻醉起效时间(11.20±1.38)min、镇痛持续时间(9.57±1.53)h、运动阻滞起效时间(8.10±0.59)min、感觉恢复时间(5.51±0.44)h,优于对照组(t=9.464、5.074、6.340、6.359,P均<0.05);两组不良反应总发生率对比,差异无统计学意义(P>0.05).结论 0.5%罗哌卡因麻醉效果更好,痛觉阻滞效应好,麻醉起效快,且不增加不良反应,对生命体征的影响较小.
Anesthetic Effect of Different Concentrations of Ropivacaine for Ultrasound-guided Interscalene Brachial Plexus Block
Objective To analyze the anesthetic effects of different concentrations of ropivacaine for ultrasound-guided interscalene brachial plexus block.Methods A total of 80 patients who received ultrasound-guided intersca-lene brachial plexus block anesthesia in Luoyuan County Hospital of Fujian Province from August 2021 to August 2023 were randomly selected as the research objects.According to the different concentrations of ropivacaine,they were divided into control group(0.3%ropivacaine)and observation group(0.5%ropivacaine),with 40 cases in each group.The changes of vital signs,anesthesia index levels and incidence of adverse reactions were compared between the two groups.Results There was no statistically significant difference in mean arterial pressure and heart rate be-tween the two groups(both P>0.05).The onset time of anesthesia was(11.20±1.38)min,duration of analgesia was(9.57±1.53)h,onset time of motor block was(8.10±0.59)min,and sensory recovery time was(5.51±0.44)h in the ob-servation group,which were better than those in the control group(t=9.464,5.074,6.340,6.359,all P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion The anesthetic effect of 0.5%ropivacaine is better,the pain block effect is good,the anesthetic effect is fast,and the adverse reactions are not increased,and the impact on vital signs is small.

Different concentrationsRopivacaineInterscalene brachial plexus blockAdverse reactionsVital signs

黄少丹、余延良、邱惠玲

展开 >

福建省罗源县医院麻醉科,福建 罗源 350600

不同浓度 罗哌卡因 肌间沟臂丛神经阻滞 不良反应 生命体征

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(19)