摘要
目的探讨舒芬太尼联合左旋布比卡因用于臂丛阻滞的麻醉效果。方法选取2010年9月-2011年6月期间在中南大学湘雅医院接受上肢手术的93例患者作为研究对象,所有患者的ASA分级均为Ⅰ~Ⅱ级。根据手术时的麻醉方案,将上述患者分成2组,观察组51例,注入10μg舒芬太尼1 ml＋0.375%左旋布比卡因25 ml;对照组42例,注入生理盐水1 ml＋0.375%左旋布比卡因25 ml。结果①观察组起效时间显著快于对照组,麻醉持续时间显著长于对照组,两组比较差异有统计学意义（P〈0.05）。②两组患者麻醉后30、60、120、180 min时的运动神经阻滞（Bromage）评分差异无统计学意义（P〉0.05）;观察组麻醉后30、60、1201、80 min时的镇痛（VAS）评分显著低于对照组,两组比较差异有统计学意义（P〈0.05）。结论舒芬太尼联合左旋布比卡因用于臂丛阻滞具有起效快、持续时间长、麻醉效果好等优点。
Objective To explore the anesthetic effects of sufentanil combined with levobupivacaine on brachial plexus block. Methods Ninety-three patients who received upper extremity surgery in Xiangya Hospital of Central South University from September 2010 to June 2011 were selected to be the objects of this study.And the ASA classification of these beforementioned patients was I or II.All patients were divided into 2 groups according to the anesthetic method.51 patients in observation group received 10 μg sufentanil（1 ml） ＋ 0.375% levobupivacaine（25 ml）,and 42 patients in control group received normal saline（1 ml） ＋ 0.375% levobupivacaine（25 ml）. Results The onset time of observation group was significantly shorter than that of control group（P0.05）,and the anesthetic duration of observation group was significantly longer than that of control group（P0.05）.No statistically significant difference was found in Bromage scores at 30,60,120,and 180 min after anesthesia between the two groups（P0.05）.The VAS scores at 30,60,120,and 180 min after anesthesia in observation group were significantly lower than those in control group（P0.05）. Conclusions The combined use of sufentanil and levobupivacaine in brachial plexus block has the advantages of short onset time,long anesthetic duration,and well anesthetic efficacy.
出处
《实用预防医学》
CAS
2011年第11期2146-2147,共2页
Practical Preventive Medicine
