摘要
目的观察地佐辛镇静用于臂丛神经阻滞的效果。方法选取桐乡市第二人民医院2016年1月至2018年12月行臂丛神经阻滞患者80例为观察对象,采用信封法分为对照组40例、观察组40例,对照组患者未实施镇静干预,观察组患者接受地佐辛镇静。比较两组患者不同时间点心率、平均动脉压、血氧饱和度及Ramsay评分,分析两组患者的麻醉效果。结果观察组感觉阻滞起效时间[(8.86±0.92)min]明显短于对照组[(11.43±1.08)min](t=11.457,P<0.05),感觉阻滞持续时间[(729.95±54.43)min]、镇痛持续时间[(879.96±165.52)min]均明显长于对照组[(600.73±49.86)min、(750.27±261.19)min](t=11.072、2.653,均P<0.05)。两组手术开始前平均动脉压、心率及各时间点血氧饱差异均无统计学意义(均P>0.05);观察组手术15 min、手术30 min、手术结束时平均动脉压和心率均明显低于对照组(均P<0.05)。两组手术开始前Ramsay评分差异无统计学意义(P>0.05),观察组手术15 min、手术30 min及手术结束时Ramsay评分分别为(4.08±0.54)分、(4.15±0.37)分、(2.96±0.19)分,均明显高于对照组的(1.79±0.27)分、(1.77±0.16)分、(1.93±0.14)分,差异均有统计学意义(t=23.989、37.341、27.602,均P<0.05)。结论地佐辛镇静用于臂丛神经阻滞,患者生命体征波动幅度小,镇静效果明显。
Objective To observe the application value of dizocine sedation in brachial plexus nerve block.Methods From January 2016 to December 2018,80 patients with brachial plexus block anesthesia in the Second People's Hospital of Tongxiang were selected and divided into two groups according to the random number table method,with 40 cases in each group.The control group was not given sedation intervention,while the observation group was given dizocine sedation.The heart rate,mean arterial pressure,blood oxygen saturation and Ramsay scores at different time points were compared between the two groups.The anesthetic effect of the two groups was analyzed.Results The onset time of sensory block in the observation group[(8.86±0.92)min]was significantly shorter than that in the control group[(11.43±1.08)min](t=11.457,P<0.05).The duration of sensory block[(729.95±54.43)min]and the duration of analgesia[(879.96±165.52)min]in the observation group were significantly longer than those in the control group[(600.73±49.86)min,(750.27±261.19)min](t=11.072,2.653,all P<0.05).There were no statistically significant differences in the mean arterial pressure,heart rate and blood oxygen saturation at each time point between the two groups before operation(all P>0.05).The mean arterial pressure and heart rate of the observation group were significantly lower than those of the control group at 15 min,30 min after operation and at the end of operation(all P<0.05).The Ramsay score between the two groups had no statistically significant difference before operation(P>0.05).At 15 min,30 min after operation and at the end of surgery,the Ramsay scores of the observation group were(4.08±0.54)points,(4.15±0.37)points,(2.96±0.19)points,respectively,which were significantly higher than those of the control group[(1.79±0.27)points,(1.77±0.16)points,(1.93±0.14)points],the differences were statistically significant(t=23.989,37.341,27.602,all P<0.05).Conclusion After dizocine sedation is used in brachial plexus block patients,the vital signs fluctuate slightly and the sedation effect is obvious.
作者
沈娟萍
罗艳萍
方敏
Shen Juanping;Luo Yanping;Fang Min(Department of Anesthesiology,the Second People's Hospital of Tongxiang,Tongxiang,Zhejiang 314511,China)
出处
《中国基层医药》
CAS
2020年第15期1862-1865,共4页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省中医药科技计划项目(2019ZA124)。
关键词
麻醉和镇痛
麻醉
局部
地佐辛
心率
动脉压
血气监测
经皮
Anesthesia and analgesia
Anesthesia
local
Dezocine
Heart rate
Arterial pressure
Blood gas monitoring
transcutaneous
