摘要
目的探讨超声下臂丛上干阻滞对肩关节镜肩袖损伤全麻患者的应用价值。方法方便选取2020年3月—2022年11月济阳区人民医院收治的86例肩关节镜肩袖损伤全麻患者为研究对象,根据随机数表法划分为联合组和单一组,各43例。单一组施以全身麻醉,联合组施以超声下臂丛上干阻滞结合全麻。对比两组血流动力学、应激反应、麻醉药物用量。结果T_(2)时,联合组心率为(65.32±3.28)次/min、平均动脉压水平(84.32±3.27)mmHg较单一组(71.81±4.29)次/min、(86.81±4.05)mmHg低,差异有统计学意义(t=7.881、3.137,P均<0.05);T_(1)、T_(2)时,联合组肾上腺素、去甲肾上腺素水平较单一组低,差异有统计学意义(P均<0.05);联合组舒芬太尼、七氟烷用量较单一组少,差异有统计学意义(P均<0.05)。结论超声下臂丛上干阻滞应用于肩关节镜肩袖损伤全麻患者可稳定血流动力学,减少应激反应、麻醉药物用量。
Objective To investigate the application value of ultrasound lower brachial plexus upper trunk block in pa⁃tients of general anesthesia for shoulder arthroscopic rotator cuff injury.Methods A total of 86 general anesthesia pa⁃tients of shoulder arthroscopic rotator cuff injury admitted to Jiyang District People's Hospital from March 2020 to No⁃vember 2022 were conveniently selected as the study objects,and they were divided into a combination group and a single group according to random number table method,with 43 cases in each group.The single group received gen⁃eral anesthesia,and the combined group received superior brachial plexus block combined with general anesthesia un⁃der ultrasound.Hemodynamics,stress response and dosage of anesthetic drugs were compared between the two groups.Results At T_(2),The heart rate of the combined group was(65.32±3.28)times/min,mean arterial pressure level(84.32±3.27)mmHg was lower than(71.81±4.29)times/min and(86.81±4.05)mmHg of single group,and the differ⁃ences were statistically significant(t=7.881,3.137,both P<0.05).At T_(1) and T_(2),the levels of adrenaline and norepi⁃nephrine in combined group were lower than those in single group,and the differences were statistically significant(both P<0.05).The dosage of sufentanil and sevoflurane in combination group was lower than that in single group,and the difference was statistically significant(both P<0.05).Conclusion The application of ultrasound lower brachial plexus upper trunk block in general anesthesia patients with shoulder arthroscopic rotator cuff injury can stabilize he⁃modynamics,reduce the stress reaction,the dosage of anesthesia drugs,and is worth to be promoted and applied.
作者
邱晓红
张桂云
杨路宽
QIU Xiaohong;ZHANG Guiyun;YANG Lukuan(Department of Anesthesiology,Jiyang District People's Hospital,Jinan,Shandong Province,251400 China)
出处
《中外医疗》
2024年第1期73-76,共4页
China & Foreign Medical Treatment
关键词
超声
下臂丛上干阻滞
肩关节镜
肩袖损伤
Ultrasound
Lower brachial plexus upper trunk block
Shoulder arthroscopy
Rotator cuff injury.
