Application of Ropivacaine Combined With Lidocaine in Supraclavicular Brachial Plexus Anesthesia
Objective To investigate the effect of ropivacaine combined with lidocaine in supraclavicular brachial plexus anesthesia for hand trauma surgery.Methods A retrospective analysis was performed on 52 patients with hand trauma admitted to Chashan Hospital of Dongguan from November 2021 to November 2022.All patients received surgical treatment.According to different implementation groups of narcotic drug use,26 patients who received supraclavicular brachial plexus anesthesia with ropivacaine alone were included in the conventional group.Twenty-six patients who received ropivacaine combined with lidocaine for supraclavicular brachial plexus anesthesia were classified into the complex group.After anesthesia,the onset time and duration of sensory and motor block were recorded,and the mean arterial pressure(MAP),heart rate(HR)and saturation of blood oxygen(SpO2)indexes of the two groups were compared before anesthesia(T1),10 min after anesthesia(T2),30 min after anesthesia(T3)and at the end of surgery(T4).At the same time,the good and good rates of anesthesia in the two groups were evaluated.Results After anesthesia,the onset time of sensory and motor nerve block in complex group was earlier than that in conventional group,and the duration of sensory and motor nerve block in complex group was longer than that in conventional group(P<0.05).There were no significant differences in MAP,HR and SpO2 between the two groups at different time periods(P>0.05),but there were significant differences in MAP,HR and SpO2 levels between T2 and T3 in the conventional group compared with T1(P<0.05).There was no significant difference in T2,T3 and T4 of MAP,HR and SpO2 in the complex group compared with T1 in the same group(P>0.05).The excellent and good rate of anesthesia in combination group was 100%,which was higher than that in complex group(84.62%)(P<0.05).Conclusion Ropivacaine combined with lidocaine can effectively block sensory and motor nerves in the early stage for patients with hand trauma,and the duration of the block is longer.At the same time,the program has no significant effect on the stability of patients'vital signs,and the anesthetic effect is worthy of affirmation,and can be used as the best choice for brachial plexus anesthesia.
ropivacainelidocainetrauma to the handbrachial plexus anesthesiafluctuation of physical signsquality of anesthesia
万方数据
维普
