B超引导下不同浓度罗哌卡因腋路臂丛神经阻滞麻醉临床效果对比.docxVIP

B超引导下不同浓度罗哌卡因腋路臂丛神经阻滞麻醉临床效果对比 莫珊李青罗远国 (中国人民解放军第一八一医院麻醉科541002) 【摘要】口的：分析B超引导下不同浓度罗哌卡因腋路臂从神经阻滞麻醉临 床效果。方法：收集我院2012年门月?2013年11月期间诊治的上肢手术患者 150例作为研究对象，采用随机分组的方式将患者分为A组、B组和C组，每组 患者各50例。给予A组患者应用0.9%的甲磺酸罗哌卡因，给予B组患者应用 0.6%的甲磺酸罗哌卡因，C组患者则采0.45%的甲磺酸罗哌卡因，对三组患者的 临床效果进行分析对比。结果：研究结果显示，在麻醉效果方面，三组患者比较 无明显差异(Pgt；0.05),对比麻醉不良反应发现，C组患者的不良反应发生率 明显低于A组和B组(Plt;0.05)。结论：在实施B超引导下腋路臂从神经阻滞的 过程屮应该应用小浓度的麻醉药物，可以有效的降低不良反应发生率，但不会对 麻醉效果造成影响。 【关键词】B超引导罗哌卡因腋路臂从神经阻滞麻醉临床效果 【屮图分类号】R614 【文献标识码】A 【文章编号】2095-1752 (2014) 11-0123-02 Type-B ultras onic guided with d iff ere nt concen trati ons of ropivacai ne for axillary brachial plexus block anesthesia clinical effect contrast MO Shan LI Qi ng LUO Yuan-guo Anesthesiology, The Chinese Peoples Liberation Army No.181 Hospital 541002 【Abstract] Objective: To An alysis of B ultrasound-guided axillary d iff ere nt concentrations of ropivacaine brachial plexus block anesthesia clinical effect? Methods:Collect our hospital in November 2012 and November 2013 upper extremity surgery 150 patients for the study, the use of randomized patients were divided into the way groups A, B and C, each of 50 cases of patients in each group. A group of patients given application 0.9% ropivacaine mesylate given group B patients with 0.6% ropivacaine mesylate group C patients with the mining of 0.45% ropivacai ne mesylate, the clin ical effects of three groups of patie nts were an a lyzed and compared. Results: The results show that the effect of the an esthetic, the three groups of patients showed no sign讦icant differenee (Pgt; 0.05), contrast anesthesia adverse reactions found that the incidenee of adverse reactions in patients in group C was significantly lower than that in group A and group B (P lt;0.05 ). Conclusion: In the B ultrasound-guided axillary brachial plexus block should be applied in the process of implement! ng a small concen trati on of an esthetic drugs, can effectively reduce the in cide nee of adverse reactio ns, but it will not affect the an esthetic effect.