Application effects of Esketamine combined with Ropivacaine in axillary brachial plexus block anesthesia
Objective:To observe application effects of Esketamine combined with Ropivacaine in axillary brachial plexus block anesthesia.Methods:The clinical data of 76 patients with hand injuries who underwent axillary brachial plexus block anesthesia in this hospital from March 2022 to March 2023 were retrospectively analyzed.According to different anesthesia schemes,they were divided into control group and study group,38 cases in each group.The control group was anesthetized with Ropivacaine,while the study group was anesthetized with Esketamine combined with Ropivacaine.The hemodynamic indexes[mean arterial pressure(MAP),heart rate]levels at different time points[entering the room(T0),block for 15 min(T1),block for 30 min(T2),and end of the surgery(T3)],the brachial plexus block effect,the onset time and duration of sensory and motor block,the pain degree[visual analogue scale(VAS)]score before and after the surgery,and the incidence of adverse reactions 24 h after the surgery were compared between the two groups.Results:At T0～T3,there were no significant differences in the MAP and heart rate levels between the two groups(P＞0.05).There was no significant difference in the brachial plexus block effect between the two groups(P＞0.05).There was no significant difference in the onset time of sensory and motor block between the two groups(P＞0.05).The duration of sensory and motor block in the study group was longer than that in the control group,the difference was statistically significant(P＜0.05).12 and 24 h after the surgery,the VAS scores of the study group were lower than those of the control group,and the differences were statistically significant(P＜0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P＞0.05).Conclusions:Esketamine combined with Ropivacaine in axillary brachial plexus block anesthesia can prolong the duration of sensory and motor block and reduce the VAS scores.Moreover,it is superior to simple Ropivacaine anesthesia.
万方数据
维普
