Effect of Ultrasound-guided Brachial Plexus Block Combined with General Anesthesia on Intraoperative Blood Pressure,Heart Rate,Surgical Field Score and Postoperative VAS Score in Patients with Rotator Cuff Rupture
Objective To study the application value of ultrasound-guided brachial plexus block(BPB)combined with general anesthesia in patients with rotator cuff rupture.Methods A total of 62 patients with rotator cuff rupture who underwent surgical treatment in Yifeng County People's Hospital from January 2019 to September 2023 were selected and divided into control group(31 patients)and observation group(31 patients)by random number table method.The control group was treated with general anesthesia,and the observation group was treated with ultrasound-guided BPB combined with general anesthesia.The perioperative mean arterial pressure(MAP),heart rate(HR),surgical field of vision(From-me surgical field score),postoperative analgesic drug use(postoperative analgesia pump pressing times,sufentanil dosage),and postoperative pain degree[Visual Analogue Scale(VAS)score]were compared between the two groups.Results The MAP and HR at each time point from 20 min during operation to 10 min after extubation in the observation group were lower than those in the control group(P<0.05).The From-me score at 20 min and 40 min in the observation group was lower than that in the control group(P<0.05).The number of pressing times of postoperative analgesia pump and the dosage of sufentanil in the observation group were less than those in the control group(P<0.05).The VAS score of the observation group at 2,4,6,8 and 12 h after operation was lower than that of the control group(P<0.05).Conclusion Ultrasound-guided BPB combined with general anesthesia has a definite application effect in rotator cuff rupture surgery,which can control the perioperative blood pressure and heart rate of patients,improve the clarity of the surgical field,reduce the postoperative pain of patients,and reduce the use of analgesic drugs.
Ultrasound-guided brachial plexus blockGeneral anesthesiaRotator cuff ruptureSurgical field of vision
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