超声引导下地佐辛复合地塞米松对腋路臂丛神经阻滞效果评价

发布时间：2018-04-17 22:18

本文选题：超声 + 地佐辛　；参考：《中国地方病防治杂志》2017年02期

【摘要】：目的探讨经超声引导下的地佐辛复合地塞米松对腋路臂丛神经的阻滞效果。方法选取2014年9月至2016年2月在本院行腋路臂丛神经麻醉下前臂手术的患者110例,按照随机数表法,所有患者被随机分为观察组和对照组,每组各55例。对照组患者采用0.67%利多卡因+0.5%罗哌卡因麻醉,观察组患者0.67%利多卡因+0.5%罗哌卡因+地塞米松10 mg+地佐辛0.1 mg/Kg麻醉,两组药液量均为30 ml。比较两组患者麻醉效果、术后不同时间点VAS评分,不良发应发生情况以及患者对麻醉的满意度。结果观察组患者麻醉起效时间、阻滞完全时间、麻醉持续时间均明显长于对照组(P0.05),且观察组患者术后8、12、24、48 h VAS评分均显著低于对照组(P0.05)。观察组患者恶心呕吐、皮肤瘙痒、头晕发生率等不良反应的发生率亦明显低于对照组(P0.05)。观察组患者的麻醉满意度评分明显高于对照组(P0.05)。结论经超声引导的地佐辛复合地塞米松混合常规局麻药物用于臂丛神经阻滞可以显著增强麻醉效果、延长麻醉时间,同时不良反应发生率较低,相较于一般麻醉方法优势显著。
[Abstract]:Objective to investigate the effect of Dzoxin combined with dexamethasone on axillary brachial plexus block.Methods 110 patients undergoing axillary brachial plexus anesthesia in our hospital from September 2014 to February 2016 were randomly divided into observation group (n = 55) and control group (n = 55).The control group was anesthetized with 0. 67% lidocaine 0.5% ropivacaine and the observation group with 0. 67% lidocaine 0.5% ropivacaine dexamethasone 10 mg dexamethasone 0.1 mg/Kg.The anaesthesia effect, the VAS score at different time points, the occurrence of bad hair and the patients' satisfaction with anesthesia were compared between the two groups.Results the onset time of anesthesia, the complete time of block and the duration of anesthesia in the observation group were significantly longer than those in the control group (P 0.05), and the VAS score of the observation group was significantly lower than that of the control group (P 0.05).The incidence of nausea and vomiting, pruritus and dizziness in the observation group was significantly lower than that in the control group (P 0.05).The anaesthesia satisfaction score in the observation group was significantly higher than that in the control group (P 0.05).Conclusion Ultrasound-guided Dizosin combined with dexamethasone combined with conventional local anesthetic can significantly enhance the anesthetic effect and prolong the anesthetic time, and the incidence of adverse reactions is lower, which is superior to the general anesthesia method.
【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】：R614.4

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