摘要
目的探讨布托啡诺联合罗哌卡因行臂丛神经阻滞的麻醉和镇痛的效果。方法60例需臂丛神经阻滞患者随机分成三组,A组局麻药0.5%罗哌卡因30ml,B组局麻药0.5%罗哌卡因30ml加布托啡诺1mg,C组局麻药0.5%罗哌卡因30ml加静脉注射布托啡诺1mg,记录感觉和运动起效和持续时间、镇痛持续时间、血流动力学指标和并发症。结果感觉阻滞时间和镇痛时间B组长于A、C组,运动阻滞和麻醉起效时间三组无区别。结论臂丛神经阻滞0.5%罗哌卡因30ml加布托啡诺1mg比单独0.5%罗哌卡因30ml延长感觉阻滞时间和镇痛时间。
Objective To evaluate the analgesis and anesthetic effects of ropivaeaine 0.5% plus butorphanol in axillary brachial plexus block. Methods 60 patients were randomly divided into 3 groups and received axillary brachial plexus block with 30 ml ropivacaine 0.5% （group A）, 30ml ropivacaine 0.5% with butorphanol 1mg （group B）, or 30ml ropivaeaine 0.5% with butorphanol 1mg venueinjection （group C）. The onset times and the duration of sensory and motor blocks, duration of analgesia, hemodynamic parameters, and adverse events were noted. Results The mean duration of sensory block and analgesia were longer in group B than those in group A、C （P〈0.05, respectively）. The mean duration of motor block and onset times had no significant difference among group B、group A and C（P〉0.05）. Conclusion The addition of 1 mg butorphanol to ropivacaine 0.5% prolonged the duration of senser block and analgesia following axillary brachial plexus block when compared with that of ropivacaine 0.5% alone.
出处
《中国煤炭工业医学杂志》
2007年第2期139-140,共2页
Chinese Journal of Coal Industry Medicine
