右美托咪定联合臂丛麻醉在上肢骨折手术中的麻醉效果及对平均动脉压的影响
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摘要
目的分析右美托咪定联合臂丛麻醉在上肢骨折手术中的麻醉效果及对平均动脉压(MAP)的影响。方法将在本院接受治疗的102例上肢骨折手术患者根据数字随机分组法分为对照组和观察组,各51例。对照组给予罗哌卡因联合臂丛麻醉,观察组给予右美托咪定联合臂丛麻醉。比较两组的麻醉效果。结果观察组的感觉神经阻滞起效时间短于对照组,维持时间长于对照组(P<0.05)。手术开始时和手术结束时,观察组的MAP均高于对照组(P<0.05)。观察组术后首次发生疼痛时间和术后镇痛效果持续时间均长于对照组,术后疼痛评分低于对照组(P<0.05)。结论右美托咪定联合臂丛麻醉应用于上肢骨折手术中可获得显著的麻醉效果。
Objective To analyze the anesthetic effect of dexmedetomidine combined with brachial plexus anesthesia in upper limb fracture surgery and its influence on mean arterial pressure(MAP). Methods A total of 102 patients with upper limb fracture treated in our hospital were divided into control group and observation group according to the digital random grouping method, with 51 cases in each group. The control group was given ropivacaine combined with brachial plexus anesthesia, while the observation group was given dexmedetomidine combined with brachial plexus anesthesia. The anesthetic effects of the two groups were compared. Results The onset time of sensory nerve block in the observation group was shorter than that in the control group, and the maintenance time was longer than that in the control group(P<0.05). At the beginning and end of the operation, the MAP of the observation group were higher than those of the control group(P<0.05). The first time of pain and the duration of analgesic effect after operation in the observation group were longer than those in the control group, the pain score after operation was lower than that in the control group(P <0.05). Conclusion Dexmedetomidine combined with brachial plexus anesthesia can achieve significant anesthetic effect in upper limb fracture surgery.
Objective To analyze the anesthetic effect of dexmedetomidine combined with brachial plexus anesthesia in upper limb fracture surgery and its influence on mean arterial pressure(MAP). Methods A total of 102 patients with upper limb fracture treated in our hospital were divided into control group and observation group according to the digital random grouping method, with 51 cases in each group. The control group was given ropivacaine combined with brachial plexus anesthesia, while the observation group was given dexmedetomidine combined with brachial plexus anesthesia. The anesthetic effects of the two groups were compared. Results The onset time of sensory nerve block in the observation group was shorter than that in the control group, and the maintenance time was longer than that in the control group(P<0.05). At the beginning and end of the operation, the MAP of the observation group were higher than those of the control group(P<0.05). The first time of pain and the duration of analgesic effect after operation in the observation group were longer than those in the control group, the pain score after operation was lower than that in the control group(P <0.05). Conclusion Dexmedetomidine combined with brachial plexus anesthesia can achieve significant anesthetic effect in upper limb fracture surgery.
引文
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[2]高建瑶,高颖.舒芬太尼联合右美托咪定对显微手外科术的麻醉效果及血管吻合成活率的影响[J].医学临床研究,2017,34(10):2028-2029.
[3]聂运明,林正国,虞志红,等.右美托咪定两种麻醉方式用于下肢骨折手术麻醉的效果及安全性比较[J].实用药物与临床,2017,20(8):69-71.
[4]唐爱平,陈金保,胡军,等.不同剂量右美托咪定用于腰-硬联合麻醉对老年髋部手术患者镇静效果的影响[J].山东医药,2017,57(6):95-97.
[5]潘桂芳,侯瑞礁.右美托咪定滴鼻联合七氟醚吸入麻醉在小儿先天性上睑下垂手术中的镇痛效果及对应激反应的影响[J].陕西医学杂志,2018,47(4):420-422.
[6]赵晓红,高玉峰,王惠淑,等.右美托咪定辅助用于臂丛神经阻滞时对脑电双频指数及术后疼痛的影响[J].国际麻醉学与复苏杂志,2018,39(2):116.
[2]高建瑶,高颖.舒芬太尼联合右美托咪定对显微手外科术的麻醉效果及血管吻合成活率的影响[J].医学临床研究,2017,34(10):2028-2029.
[3]聂运明,林正国,虞志红,等.右美托咪定两种麻醉方式用于下肢骨折手术麻醉的效果及安全性比较[J].实用药物与临床,2017,20(8):69-71.
[4]唐爱平,陈金保,胡军,等.不同剂量右美托咪定用于腰-硬联合麻醉对老年髋部手术患者镇静效果的影响[J].山东医药,2017,57(6):95-97.
[5]潘桂芳,侯瑞礁.右美托咪定滴鼻联合七氟醚吸入麻醉在小儿先天性上睑下垂手术中的镇痛效果及对应激反应的影响[J].陕西医学杂志,2018,47(4):420-422.
[6]赵晓红,高玉峰,王惠淑,等.右美托咪定辅助用于臂丛神经阻滞时对脑电双频指数及术后疼痛的影响[J].国际麻醉学与复苏杂志,2018,39(2):116.