Exploring the intraoperative continuous infusion dexmedetomidine in the right brachial plexus anesthesia effect upper limb surgery
Objective To explore the clinical efficacy intraoperative continuous infusion of dexmedetomidine the right brachial plexus anesthesia in upper limb surgery. Methods From February 2011 to May 2013, 60 patients underwent unilateral upper extremity surgery were chosen in our hospital. They were randomly divided into control group and observation level group, the observation group were treated with intraoperative continuous infusion of dexmedetomidine pyridine complex brachial plexus anesthesia, while the control group using intraoperative continuous infusion of normal saline combined with brachial plexus anesthesia, two groups were compared in the incision, half an hour after the end of surgery pain conditions and differences in intraoperative heart rate and other basic indicators for monitoring changes. Results The patients in the surgical incision and a half hours after the end of the visual analogue pain scale(VAS) was significantly lower than the control group of patients(P<0.05); however observation group occurred in patients undergoing mean arterial pressure(MAP) and heart rate reduction reduces slow phenomenon, reduction remission. Conclusion Right upper extremity surgery intraoperative continuous infusion of dexmedetomidine meet the right brachial plexus anesthesia anesthesia with very satisfactory results, no inhibition of respiration and other adverse reactions, higher security, worthy of clinical application.
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万方数据
维普
