超声引导下地佐辛复合地塞米松对腋路臂丛神经阻滞在儿童急诊手外伤手术中的运用分析

发布时间：2018-06-22 06:44

本文选题：超声 + 地佐辛　；参考：《中国地方病防治杂志》2017年06期

【摘要】：目的目的:探究在超声引导下地佐辛复合地塞米松对腋路臂丛神经阻滞在儿童急诊手外伤手术中运用效果,为临床提供有效依据。方法选择2014年2月至2015年10月在我院门诊急诊就诊的拟行手部外伤手术的儿童112例,按随机数表法将112例患者分为超声引导下地佐辛复合地塞米松经腋路臂丛神经阻滞麻醉组(观察组)和传统的腋路臂丛神经阻滞麻醉组(对照组),每组各56例,对其进行比较分析。结果两组患者在注入麻药后在5min、10min、15min后观察组桡神经的阻滞有效率要明显优于对照组,在注入麻醉药物10min、15min后观察组尺神经和正中神经的阻滞有效率也要明显优于对照组(P0.05);观察组患者在麻醉起效时间、阻滞完全时间上均要明显短于对照组(P0.05),在麻醉持续时间上观察组要明显长于对照组(P0.05)。术后两组患者在6h、12h、18h、24h、48h VAS评分上,观察组要明显低于对照组(P0.05)。结论在儿童上肢手术中利用超声引导下地佐辛复合地塞米松经腋路臂丛神经阻滞麻醉操作方便,成功率高,能够增强腋路臂丛神经阻滞的效果,且术后并发不良反应少,值得推广应用。
[Abstract]:Objective: to explore the effect of Dizosin combined with dexamethasone on axillary brachial plexus block in emergency operation for hand trauma in children. Methods 112 children undergoing hand trauma surgery from February 2014 to October 2015 were selected. According to the random number method, 112 patients were divided into two groups, 56 patients in each group were treated with conventional axillary brachial plexus block anesthesia (observation group) and conventional axillary brachial plexus block anesthesia (control group). It is compared and analyzed. Results the effective rate of radial nerve block in the observation group was significantly better than that in the control group at 5 min, 10 min and 15 min after the injection of anesthetic. The effective rate of ulnar nerve and median nerve block in the observation group was significantly better than that in the control group after 10 minutes and 15 minutes after the injection of the anesthetic (P0.05). The complete time of block was significantly shorter than that of control group (P0.05), and the duration of anesthesia in observation group was significantly longer than that in control group (P0.05). The VAS scores in the observation group were significantly lower than those in the control group (P0.05). Conclusion Dizosin combined with dexamethasone under the guidance of ultrasound in children upper limb operation is easy to operate and has a high success rate. It can enhance the effect of axillary brachial plexus block and has fewer adverse reactions after operation. It is worth popularizing and applying.
【作者单位】：承德医学院附属医院;
【基金】：承德市科学技术研究与发展计划项目(201601A038)
【分类号】：R726.1

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