摘要
目的:观察酮咯酸氨丁三醇联合局麻药用于超声引导下臂丛神经阻滞的镇痛效果。方法:选择四肢创伤外科的择期上肢手术患者40例,ASA分级为I或Ⅱ级,随机分为观察组20例,对照组20例。观察组:锁骨上臂丛给药,1%利多卡因+0.375%罗哌卡因20 ml+30 mg酮咯酸氨丁三醇;腋路臂丛给药,1%利多卡因10 ml。对照组:锁骨上臂丛给药,1%利多卡因+0.375%罗哌卡因20 ml+1 ml生理盐水;腋路臂丛给药,1%利多卡因10 ml。然后分别记录两组患者感觉阻滞时间,麻醉后4,8,12 h的VAS评分,麻醉中及术后并发症和两组患者的麻醉满意度情况。结果:观察组的感觉阻滞时间长于对照组,麻醉后4,8和12 h的VAS评分低于对照组,麻醉满意度高于对照组,差异均具有统计学意义(P<0.05)。结论:酮咯酸氨丁三醇联合利多卡因和罗哌卡因用于超声引导下臂丛神经阻滞具有更好的效果。
Objective： To observe the antalgic effectiveness of ultrasound-guided brachial plexus block with ketorolac combined with local anaesthetics. Methods： Forty forearm surgery patients with ASA grade Ⅰ orⅡ were randomly assigned to two groups. In observation group,supraclavicular brachial plexus block was performed using 1% lidocaine and 0. 375% ropivacaine 20 ml combined with 30 mg ketorolac. Axillary brachial plexus block was performsd using 1% lidocaine 10 ml. In control group,supraclavicular brachial plexus block was performed using 1% lidocaine and 0.375% ropivacaine 20 ml combined with 1 ml saline.Axillary brachial plexus block was performsd using 1% lidocaine 10 ml. We recorded the duration of the sensory block,VAS of 4,8 and 12 h after brachial plexus block,complications and the satisfaction of anesthesia. Results： The duration of sensory block in observation group was longer than in control group（ P〈0.05）. The VAS of 4,8 and 12 h after brachial plexus block in observation group was lower than in control group（ P〈0.05）. There were no complications in both two groups. And the satisfaction of anesthesia in observation group was higher than in control group（ P 〈 0. 05）. Conclusion： Ketorolac combined with lidocaine and ropivacaine for the ultrasound-guided brachial plexus block can prolong the duration of analgesia.
作者
陈玲
周洁
吴江帆
陈治军
CHEN Ling;ZHOU Jie;WU Jiangfan;et al(Department of Anesthesiology, the First Affiliated Hospital of Guilin Medical University, Guilin 541000, China)
出处
《华夏医学》
CAS
2018年第1期23-26,共4页
Acta Medicinae Sinica
基金
广西自然科学基金资助项目(2015GXNSFAA139174)
