臂丛神经阻滞联合喉罩全麻在上肢手术中的应用.docVIP

精品论文 参考文献 臂丛神经阻滞联合喉罩全麻在上肢手术中的应用 周凡林 　　（四川省成都市温江区中医院 四川 成都 613000） 　　【摘要】 目的：研究上肢手术中使用喉罩全麻联合臂丛神经阻滞在临床中带来的效果。方法：选取我院2015年3月～2015年10月收治的上肢骨折的患者50例，随机平均分为两组，每组25人，观察组患者手术时使用臂丛神经阻滞联合喉罩全麻，对照组患者手术时使用单纯的喉罩通气全麻。观察组的患者先给予1.5%的利多卡因麻醉剂25毫升缓慢注入患者的肌间沟内进行臂丛神经阻滞[1]。两组的患者都使用芬太尼1微克每千克，异丙酚2毫克每千克诱导置入喉罩。记录手术后患者的疼痛情况。结果：患者在T1和T2时，观察组的潮气量明显的比对照组患者的潮气量高。T3时观察组的呼吸频率比对照组患者的呼吸频率低。T2,T3时观察组的MAC明显的低于对照组的患者。观察组的患者手术后疼痛的表现没有对照组患者疼痛明显，P＜0.05。结论：在临床上肢手术中使用臂丛神经阻滞联合喉罩全麻可以降低手术后的并发症的出现，减轻患者的痛苦。 　　【关键词】 臂丛神经阻滞；喉罩全麻；上肢手术 　　【中图分类号】R741 【文献标识码】A 【文章编号】2095-1752（2016）11-0050-02 　　Application of brachial plexus block combined with laryngeal mask anesthesia in upper limb surgery Zhou Fanlin. Traditional Chinese Medicine Hospital of Wenjiang District, Chengdu City, Sichuan Province, Chengdu 613000, China 　　【Abstract】Objective To study the use of laryngeal mask anesthesia in upper extremity surgery combined brachial plexus block in the clinical effects. Methods From March 2015 to October 2015 were 50 patients with upper limb fractures, randomly divided into two groups, each group of 25 people, the observation group of patients with brachial plexus block combined the laryngeal mask anesthesia surgery, control group patients use simple laryngeal mask airway anesthesia surgery. Observation group patients give first 25 ml of 1.5% lidocaine anesthesia slow intramuscular injection patients for brachial plexus block [1]. Two groups of patients are using 1 micrograms per kilogram of fentanyl, propofol 2 mg per kilogram of induction into the laryngeal mask. Record after surgery in patients with pain. Results In patients with T1 and T2, the tidal volume of observation group was obviously better than control group in patients with high tidal volume. T3 groups breathing breathing rate lower than the control group patients. T2, T3, MAC of observation group was obviously lower than the control group of patients. Observation group of patients with pain after the operation, the perfo