高位肌间沟配合低浓度的罗哌卡因神经阻滞用于老年锁骨骨折麻醉效果及其对应激反应影响分析
Anesthesia Effect of Low Concentration Ropivacaine Nerve Block at High Intermuscular Sulcus of Elderly Patients with Clavicle Fractures and Effect Analysis on Stress Response
蔡红梅1
作者信息
- 1. 阜宁县中医院 麻醉科,江苏 盐城 224434
- 折叠
摘要
目的 分析高位肌间沟低浓度罗哌卡因神经阻滞用于老年锁骨骨折麻醉效果.方法 筛选本院2019年1月—2021年12月收治的80例老年锁骨骨折患者,以随机抽签法分组,每组40例.均以手术治疗,对照组采取常规肌间沟臂丛神经阻滞麻醉,观察组采取高位肌间沟神经阻滞麻醉.进行麻醉效果对比.结果 观察组麻醉效果高于对照组;观察组镇静效果高于对照组;观察组麻醉时间较对照组短;观察组应激反应指标优于对照组;观察组麻醉异常反应比例低于对照组;以上指标对比差异有统计学意义(P<0.05).结论 老年锁骨骨折中,采取高位肌间沟麻醉,术中应用低浓度罗哌卡因,可提升麻醉效果,可减少应激反应及麻醉不良反应.
Abstract
Objective To analyze anesthesia effect of low concentration ropivacaine nerve block at high intermuscular sulcus for elderly patients with clavicle fractures.Methods The paper chose 80 elderly patients with clavicle fractures admitted to our hospital from January 2019 to December 2021,and randomly divided them into two groups,with 40 cases in each group.All cases were treated with surgery.Control group was treated with routine brachial plexus block anesthesia,while observation group with high-level intermuscular sulcus block anesthesia.Anesthesia effect was compared.Results Anesthesia effect of observation group was higher than control group,sedative effect of observation group was higher than control group,anesthesia time in observation group was shorter than control group.Stress response indicators of observation group were better than control group.Proportion of abnormal anesthesia reactions in observation group was lower than control group,difference in above indicators was statistically significant(P<0.05).Conclusion Low concentration ropivacaine at high level intramuscular sulcus can improve anesthesia effect,reduce stress reactions and adverse anesthesia reactions of elderly patients with clavicle fractures during surgery.
关键词
老年/锁骨骨折/高位肌间沟麻醉/低浓度罗哌卡因Key words
Elderly/Clavicle fracture/High level intramuscular sulcus anesthesia/Low concentration ropivacaine引用本文复制引用
出版年
2024
NETL
NSTL
万方数据