摘要
目的上肢骨折患者应用右美托咪定与臂丛麻醉联合麻醉效果情况分析。方法选取2018年9月—2019年9月该院诊治100例上肢骨折患者资料,随机分为两组,对照组予咪达唑仑联合臂丛麻醉,研究组予右美托咪定与臂丛麻醉联合方案,分析两组麻醉指标、镇痛指标及平均动脉压情况。结果干预后,研究组镇痛持续(783.58±180.72)min、运动阻滞的维持(582.62±56.91)min与感觉阻滞的维持时间(620.58±90.52)min均比对照组多;研究组运动阻滞的起效(10.85±1.98)min、感觉阻滞的起效(10.15±1.58)min,均比对照组少(t=5.649、11.306、8.559、9.320、7.253,P<0.05);研究组疼痛度(2.03±0.65)分比对照组低,研究组镇静(3.38±0.52)分比对照组高(t=4.009、9.573,P<0.05);手术开始研究组MAP水平(83.15±2.16)mmHg及手术结束(84.14±2.39)mmHg均比对照组高(t=7.457、6.317,P<0.05)。结论上肢骨折患者应用右美托咪定与臂丛麻醉联合应用,能提高阻滞维持时间及镇静程度,降低疼痛度,稳定患者围手术期平均动脉压水平,具一定临床应用价值。
Objective To analyze the effect of combined anaesthesia with dexmedetomidine and brachial plexus anesthesia in patients with upper limb fractures.Methods The data of 100 patients with upper limb fracture diagnosed and treated in our hospital from September 2018 to September 2019 were randomly divided into two groups.The control group was given midazolam combined with brachial plexus anesthesia,and the study group was given dexmedetomidine and brachial plexus anesthesia joint plan,analyze the anesthesia index,analgesia index and average arterial pressure of the two groups.Results After intervention,the analgesic duration of the study group was(783.58±180.72)min,the maintenance of motor block(582.62±56.91)min and the maintenance time of sensory block(620.58±90.52)min were more than those of the control group;The onset of stagnation(10.85±1.98)min and onset of sensory block(10.15±1.58)min were less than that of the control group(t=5.649,11.306,8.559,9.320,7.253,P<0.05);pain in the study group degree(2.03±0.65)points was lower than that of the control group,and the sedation(3.38±0.52)points of the study group was higher than that of the control group(t=4.009,9.573,P<0.05);the MAP level of the study group(83.15±2.16)mmHg and end of the operation(84.14±2.39)mmHg was higher than that of the control group(t=7.457,6.317,P<0.05).Conclusion The combined application of dexmedetomidine and brachial plexus anesthesia in patients with upper extremity fractures can improve the block maintenance time and sedation,reduce the pain,and stabilize the average perioperative arterial pressure level in patients.It has certain clinical application value.
作者
姜凤琴
JIANG Feng-qin(Department of Anesthesiology,Seventh People's Hospital of Zibo,Zibo,Shandong Province,255000 China)
出处
《世界复合医学》
2020年第7期169-171,共3页
World Journal of Complex Medicine
关键词
上肢骨折
右美托咪定
臂丛麻醉
麻醉指标
镇痛
Upper limb fracture
Dexmedetomidine
Brachial plexus anesthesia
Anesthesia index
Analgesia
