摘要
为观察利多卡因合用芬太尼（Fentanyl）与单独使用利多卡因阻滞臂丛神经效果，将40例ASAⅠ级拟在腋路管丛神经阻滞下行上肢手术的患者分为实验组20例，对照组20例。结果：15min时实验组尺神经、正中神经、桡神经、肌皮神经、腋神经阻滞评分显著高于对照组（P＜0．05）；实验组起效时间显著短于对照组（5．92±3.11minvs8．55±3.62min，P＜0.05），维持时间显著长于对照组（193．76±59.72minvs158．45±50．63min，P＜0．05）；两组患者间不同时间呼吸频率、PetCO2（呼末二氧化碳分压）和SpO2（脉搏氧饱和度）差异无显著性（P＞0.05）。提示利多卡因加用Fentanyl可改善腋路臂丛神经的阻滞质量，且不抑制呼吸。
To observe the effect of brachial plexus anesthesia (via axillary fossa), Fentanyl (1 μg/kg) was added to lidocaine solution (Fentanyl group, n = 20) and the effect was compared with those obtained from the contro group (using Lidocaine only, n = 20). The effect onset time and the analgesia time of the Fentanyl group and the control group was respectively 5. 92±3. 11 min vs 8. 55±3. 62 min (P<0.05) and 193.76±59. 72 min vs 158. 45 ±50. 63 min (P<0. 05). The repiratory parameters were not statistically different in the two groups. Conclusion: Lidocaine used in combination with Fentanyl can improve brachial plexus anesthesia quality and doesn' t inhibit respiration.
出处
《医学新知》
CAS
1997年第4期151-153,158,共4页
New Medicine
关键词
麻醉
腋路臂丛
神经阻滞
利多卡因
芬太尼
Brachial Plexus Anesthesia via Axillary Fossa
Lidocaine
Fentanyl
