罗哌卡因复合布托啡诺用于臂丛神经阻滞临床观察.docVIP

罗哌卡因复合布托啡诺用于臂丛神经阻滞临床观察 　　【摘要】 目的：观察罗哌卡因复合少量布托啡诺用于臂丛神经阻滞的麻醉效果和安全性。方法：选择笔者所在医院收治的行上肢手术的80例患者，均为ASA Ⅰ～Ⅱ级。采用随机数字表法将其分为A、B两组，各40例。A组给予0.5%罗哌卡因20 ml+布托啡诺1 mg，B组给予0.5%罗哌卡因20 ml，行臂丛阻滞，记录阻滞前、阻滞后10 min、阻滞后30 min、阻滞后60 min时收缩压（SBP）、舒张压（DBP）、心率（HR）的变化，并进行麻醉满意度评分及不良反应记录。结果：两组各时间点的SBP、DBP、HR比较差异无统计学意义（P0.05），A组麻醉满意度明显优于B组，A组镇痛持续时间明显长于B组，差异均有统计学意义（P0.05）。结论：罗哌卡因复合少量布托啡诺可取得良好的麻醉效果，且能延长麻醉镇痛持续时间。 　　【关键词】 罗哌卡因； 布托啡诺； 臂丛阻滞 　　中图分类号 R614 文献标识码 A 文章编号 1674-6805（2014）13-0017-02 　　Clinical Observation of Ropivcaine Combined with Butorphanol on Brachial Plexus Block/PAN Wei-tang，CHENG Bi-na，LIU Rong-fang，et al.//Chinese and Foreign Medical Research，2014，12（13）：17-18 　　【Abstract】 Objective：To observe the clinical effects of Ropivcaine combined with Butorphanol on brachial plexus block.Method：Selecting the author’s hospital admission line of upper extremity surgery of 80 patients， were ASA Ⅰ-Ⅱ level.By using the method to random number table were divided into A， B groups， 40 cases in each.A group was given 0.5% Ropivcaine 20 ml + Butorphanol 1 mg， B group was given 0.5% Ropivcaine 20 ml，line of brachial plexus block，brachial plexus block， 10 min after record before the block， block after 60 min， block after 30 min， block the systolic blood pressure （SBP）， diastolic blood pressure （DBP）， the change of heart rate （HR）， and anesthesia satisfaction score and record adverse reactions.In front of the block， block after 10 ，30 ，60 minutes， recording systolic blood pressure（SBP）， diastolic blood pressure（DBP）， the change of heart rate（HR）， and anesthesia satisfaction score and record adverse reactions.Result：Two groups of each point time of SBP， DBP， HR comparison difference has no statistical significance（P0.05）.The satisfaction of anesthesia in A group was better than that in B group.The duration of anesthesia in A group was significantly longer than that in B group，the difference was statistically significant（P0.05）.Conclusion：The analgesia effect of Ropivcaine combined with Butorphanol on