浅析连续臂丛麻醉用于上肢手术及其术后镇痛临床效果观察.docVIP

精品论文 参考文献 浅析连续臂丛麻醉用于上肢手术及其术后镇痛临床效果观察 大庆油田总医院 163000 摘要：目的 研究并探讨连续臂丛麻醉用于上肢手术及其术后镇痛的效果。方法 此次研究的对象是选择2011年1月至2013年4月期间入住我院行上肢手术的ASA分级为Ⅰ-Ⅱ级的患者108例，将其临床资料进行回顾性分析。并随机均分为观察组与对照组，观察组患者实施连续臂丛麻醉，对照组实施常规臂丛麻醉。对比两组麻醉效果以及术后镇痛效果。结果观察组的麻醉优良率为94.4%，显著高于对照组的85.2%；观察组的平均加药量明显少于对照组，且Ramsay评分明显高于对照组，P均lt;0.05。结论在上肢手术中采用连续臂丛麻醉，操作简便、安全可靠、可控性较强、再次加药量较少、麻醉效果显著，且具有良好的术后镇痛效果，值得推广应用 关键词：上肢手术；连续臂丛麻醉；术后镇痛 [Abstract] Objective To study the effect of continuous brachial plexus anesthesia for upper limb surgery and postoperative analgesia.Methods the study was conducted from April 2013 to January 2011 in our hospital during the upper limb surgery of the ASA grade for grade I patients 108 cases，the clinical data were retrospectively analyzed.And randomly divided into the observation group and the control group，the observation group was treated with continuous brachial plexus anesthesia，the control group was given routine brachial plexus anesthesia.Compared the effect of two groups of anesthesia and postoperative analgesic effect.Results the excellent rate of anesthesia in the observation group was 94.4%，significantly higher than 85.2% of the control group，the observation group was significantly less than the control group，and the Ramsay score was significantly higher than that of the control group，P were lt;0.05.Conclusion in the upper extremity surgery using continuous brachial plexus anesthesia，simple operation，safe and reliable，controllable strong，again dosing quantity is less，anesthesia effect is remarkable，and has good postoperative analgesic effect，it is worth popularization and Application [Key words] upper limb surgery；continuous brachial plexus anesthesia；postoperative analgesia 臂丛麻醉是上肢手术中最常见的麻醉方式，常用的麻醉入路方法有锁骨上法、腋路法、肌间沟法以及锁骨下血管旁法等[1-2]。本研究对上肢手术患者经肌间沟入路实施连续臂丛麻醉，取得了满意的麻醉及术后镇痛效果，现总结报道如下 1资料与方法 1.1一般资料收集2011年1月至2013年4月期间，我院住院并接受上肢手术的患者108例，其中，男63例，女45例；年龄35-76岁，平均为（50.6plusmn;10.8）岁。ASA分级均为Ⅰ-Ⅱ级，其中，55例行上肢前臂骨折切开复位内固定术，24例行手部关节外伤缝合术，4例行神经和肌腱损伤修复术，17例行断肢断指再植术，8例行上肢血管吻合