Analysis of the Efficacy of Two Anaesthetic Methods of Cervical Epidural Versus Continuousbrachial Plexus Block for Anaesthesia and Postoperative Analgesia in Digital(Limb)Reimplantation Surgery
Objective This study mainly analyzed the effects of two anesthesia methods,epidural versus continuous brachial plexus block in the neck,anesthesia and postoperative analgesia in the surgery of digital(limb)reimplantation.Methods 80 patients who underwent index reimplantation surgery in our hospital from May 2019 to May 2020 were divided into two groups,namely,observation group and control group,according to the method of random number,the observation group was anaesthetized using the anaesthetic method of continuous brachial plexus block,and the advantages and disadvantages of different anaesthetic methods were compared between the two groups.The blood oxygen saturation(SpO2),blood pressure index(BP),heart rate(HR),and changes in electrocardiogram index(ECG)of the patients before and after the operation in both groups were detected,and the VAS score,onset time of anesthesia,the complete degree of sensory block,local anesthetics as well as the amount of auxiliary medication were recorded at the same time.Results the well established practice of sensory blockade with anesthesia onset was significantly faster in the observation group using continuous brachial plexus block anesthesia than in the control group using cervical epidural anesthesia(P＜0.05).However,the amount of drugs used for local anesthesia did not differ significantly between the two groups.Conclusion after anaesthesia by continuous block of the brachial plexus was selected for patients undergoing digital(limb)reimplantation surgery,the onset of anaesthetic effect was rapid and analgesia relatively well established,and it was easy to operate,which can play the role of continuous block and has less effect on physical function circulation and respiratory function,and it did not cause complications and adverse effects in clinical treatment.Has an applied value and deserves comprehensive promotion.
Cervical EpiduralContinuous Brachial Plexus BlockReplantation of Amputated Digits(limbs)Analgesia
维普
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