摘要
目的比较丙泊酚和七氟醚麻醉在肩关节脱位复位中的应用价值。方法 2010年1月至2012年12月在本院骨科进行肩关节复位治疗的患者共82例,将所有患者随机分为3组,丙泊酚麻醉组28例,七氟醚麻醉组28例,臂丛神经麻醉组26例。比较三组患者疼痛评分、麻醉效果、复位期间生理指标及患者满意度。结果丙泊酚和七氟醚可以有效缓解患者疼痛,与臂丛神经麻醉比较差异有统计学意义(P<0.05),同时,丙泊酚和七氟醚对患者的麻醉效果优于臂丛神经麻醉,对呼吸等有一定的抑制作用,需要临床加强监控,患者满意度比较差异无统计学意义。结论丙泊酚和七氟醚对肩关节脱位复位患者的麻醉效果优于常规麻醉方法,但是临床使用时需要密切关注患者各项生理指标,根据患者实际情况,选择合适的麻醉方法。
Objective To compare the valve of propofol and sevoflurane anesthesia on shoulder reset. Meth- ods 82 patients undergoing shoulder reduction in our hospital from January 2010 to December 2012 were randomly di- vided into 3 groups, propofol anesthesia group （n = 28 ） , sevoflurane anesthesia group （n = 28 ） and brachial plexus an- esthesia group （ n = 28 ）. Pain score, anesthetic effects, physiological indices and satisfactory degree of the three groups were compared. Results Propofol and sevoflurane anesthesia could alleviate pain effectively, which was significant better than brachial plexus anesthesia, and anesthetic effect was also better than brachial plexus anesthesia with some re- spiratory inhibition, needed clinical strengthen monitoring, the satisfactory degree of the patients showed no significant difference among the three groups. Conclusion Propofol and sevoflurane anesthesia in patients with shoulder disloca- tion is superior to conventional methods of anesthesia, but need to pay close attention to clinical use in patients with va- rious physiological indicators ,we must select the appropriate method of anesthesia according to the actual situation of the patient.
出处
《实用药物与临床》
CAS
2014年第3期314-316,共3页
Practical Pharmacy and Clinical Remedies
