Application of levobupivacaine in ultrasound-guided axillary brachial plexus block anesthesia in patients with upper limb fractures
Objective:To investigate the application of levobupivacaine in ultrasound-guided axillary brachial plexus block anesthesia in patients with upper limb fractures.Methods:A total of 122 patients with upper limb fracture who underwent elective surgery under axillary brachial plexus block anesthesia in our hospital from January 2020 to January 2022 were divided into levobupivacaine group(group A,0.375%levobupivacaine)and bupivacaine group(group B,0.375%bupivacaine)according to random number table method,61 cases in each group.The indexes of sensory and motor nerve block,the degree of motor nerve block 30 minutes after administration and the adverse reactions were compared between the two groups.Results:There were no significant differences in sensory and motor nerve block indexes and incidence of adverse reactions between the two groups(6.00%vs 10.00%)(P>0.05).The modified Bromage classification in group A after 30 minutes administration was better than that in group B(Z=2.239,P=0.025).Conclusion:The ultrasound-guided axillary brachial plexus block anesthesia with levobupivacaine can provide a satisfactory motor nerve block effect in patients with upper limb fractures.
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