摘要
目的研究沙滩椅位肩关节镜术中星状神经节阻滞联合七氟烷、丙泊酚的有效性及安全性。方法选取2018年7至2019年12月在我院进行沙滩椅位肩关节镜术治疗的患者80例,按照完全随机法将患者分为丙泊酚组、七氟烷组,各40例。丙泊酚组给予患者丙泊酚微量泵给药;七氟烷组给予七氟烷诱导麻醉。统计平均动脉压(MAP)、心率、日常生活活动能力(ADL)量表、VAS评分、拔管时间、术后清醒时间及术后苏醒时间。统计镇痛效果、不良反应发生率。结果七氟烷组T1、T2及T3时间段MAP、心率水平低于丙泊酚组,差异有统计学意义(P<0.05)。术后七氟烷组ADL评分高于丙泊酚组,VAS评分低于丙泊酚组,差异有统计学意义(P<0.05)。七氟烷组患者拔管时间、术后清醒时间及术后苏醒时间均低于丙泊酚组,差异有统计学意义(P<0.05)。七氟烷组患者镇痛优良率高于丙泊酚组,差异有统计学意义(P<0.05)。七氟烷组患者不良反应发生率低于丙泊酚组,差异有统计学意义(P<0.05)。结论七氟烷联合星状神经节阻滞对行沙滩椅位肩关节镜术患者镇痛效果显著,降低患者疼痛,有利于患者清醒与苏醒,不良反应发生率低,值得临床推广。
Objective To study the efficacy and safety of stellate ganglion obstruction combined with sevoflurane and propofol in shoulder arthroscopy in the beach chair position.Methods 80 patients who underwent shoulder arthroscopy in the beach chair position in our hospital from July 2018 to December 2019 were selected,including 44 males and 36 females.The patients were divided into the propofol group,sevoflurane group,with 40 cases in each group.The propofol group was given propofol micro pump administration.The sevoflurane group was given sevoflurane to induce anesthesia.The mean arterial pressure(MAP),heart rate,the activity of daily living(ADL)scale,VAS score,extubation time,postoperative wake-up time,analgesic effects,and incidence of adverse reactions were calculated.Results The levels of MAP and heart rate during T1,T2,and T3 in the sevoflurane group were lower than those in the propofol group,with statistical differences(P<0.05).After the operation,the ADL score of the sevoflurane group was higher than that of the propofol group,and the VAS score of the sevoflurane group was lower than that of the propofol group,and the difference was statistically significant(P<0.05).The extubation time,postoperative wake-up time in the sevoflurane group were lower than those in the propofol group,with statistical differences(P<0.05).The excellent and good rate of analgesia in the sevoflurane group was higher than that in the propofol group,and the difference was statisticaaly significant(P<0.05).The incidence of adverse reactions in the sevoflurane group was lower than that in the propofol group,with statistical differences(P<0.05).Conclusion Sevoflurane combined with stellate ganglion block has a significant analgesic effect on patients undergoing shoulder arthroscopy in the beach chair position,which reduces the pain of the patient,helps the patient to wake up,and has a low incidence of adverse reactions.It is worthy of clinical promotion.
作者
柴华
金霞云
彭文勇
陈元良
许多嘉
蓝志坚
CHAI Hua;JIN Xiayun;PENG Wenyong;CHEN Yuanliang;XU Duojia;LAN Zhijian(Department of Anesthesiology,Jinhua Central Hospital,Jinhua321000;Department of Oncology,Jinhua Central Hospital,Jinhua 321000,China)
出处
《中国现代医生》
2021年第20期119-122,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2020KY345)。
关键词
沙滩椅位肩关节镜术
七氟烷
丙泊酚
星状神经节阻滞
Shoulder arthroscopy in the beach chair position
Sevoflurane
Propofol
Stellate ganglion block
