肌间沟臂丛神经阻滞复合静脉全麻在肩关节镜手术麻醉中的应用

发布时间：2018-05-24 00:06

本文选题：肩关节镜手术 + 肌间沟臂丛神经阻滞　；参考：《山东医药》2017年26期

【摘要】：目的观察肌间沟臂丛神经阻滞复合静脉全麻在肩关节镜手术麻醉中的应用效果。方法将60例肩关节镜手术患者随机分成观察组和对照组各30例,观察组采用肌间沟臂丛神经阻滞复合静脉全麻,对照组采用单纯静脉全麻。记录术中收缩压(SBP)、舒张压(DBP)、平均动脉压(MBP)、心率(HR),术中需要干预血压的次数,灌洗液用量,手术医师对手术视野清晰度的评分。结果观察组SBP、DBP和MBP的最高值均低于对照组,麻醉药物用量、术中需要干预血压的次数、灌洗液用量均少于对照组,手术医师对术野清晰度评分优于对照组。围手术期两组均未发生不良反应。结论肩关节镜手术患者采取肌间沟臂丛神经阻滞复合静脉全麻更有利于术中控制性低血压的施行,能为手术提供更清晰的视野。
[Abstract]:Objective to observe the effect of intermuscular sulcus brachial plexus block combined with intravenous general anesthesia in shoulder arthroscopic anesthesia. Methods 60 patients undergoing arthroscopic shoulder surgery were randomly divided into two groups: the observation group (n = 30) and the control group (n = 30). The observation group was treated with intermuscular sulcus brachial plexus block combined with general intravenous anesthesia, and the control group with simple intravenous general anesthesia. Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MBP), heart rate (HR) were recorded. Results the highest values of SBP and MBP in the observation group were lower than those in the control group, the dosage of anesthetic drugs, the times of intervention of blood pressure during the operation, the amount of lavage fluid were lower than those in the control group, and the score of surgical field intelligibility was superior to that of the control group. No adverse reactions occurred in both groups during the perioperative period. Conclusion the use of intermuscular sulcus brachial plexus block combined with venous general anesthesia is more beneficial to the implementation of controlled hypotension and can provide a clearer visual field for the operation.
【作者单位】：北京积水潭医院;
【分类号】：R614.2

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