局部麻醉剂加小剂量吗啡臂丛神经阻滞在上肢术后镇痛效果的观察  

Research of Postoperative Analgesia with Morphine in Brachial Plexus Block by Two Different Methods

作　　者：孙德峰[1] 王剑平 阎妮[1] 安刚[1] 吴崇天[1] 

机构地区：[1]大连医科大学附属第一医院麻醉科,辽宁大连116011 [2]瓦房店市人民医院麻醉科,辽宁大连116500

出　　处：《中国误诊学杂志》2007年第27期6467-6468,共2页Chinese Journal of Misdiagnostics

摘　　要：目的:观察局部麻醉剂加小剂量吗啡臂丛神经阻滞在上肢术后镇痛的效果。方法:将52例ASAⅠ～Ⅱ级在肌间沟臂丛神经阻滞下行上肢手术的患者,随机均分为A、B两组。A组在局麻药内加吗啡4mg;B组术毕将吗啡4 mg由臂丛神经注入。观察两组术后镇痛效果及不良反应。结果:A组综合镇痛质量优于B组,镇痛时间长于B组(P<0.05);A、B两组恶心发生率分别为12.5%和16.7%,皮肤瘙痒发生率分别为8.3%和12.5%,两组差异无显著性。结论:将局部麻醉剂加小剂量吗啡术前臂丛神经阻滞在上肢术后的镇痛效果明显优于术后注射吗啡者。Objective：To observe the effects of postoperative analgesia of brachial plexus block with local anesthetic drugs and small dosage of morphine. Methods ： 52 patients with ASA Ⅰ - Ⅱ scheduled for upper extremity surgery under muscle sulcus brachial plexus block were divided randomly and evenly into two groups of A and B. 4 mg morphine was added into local anesthetic drugs in group A. 4 mg morphine was infused into brachial plexus nerves after surgery in group B. To observe the postoperative analgesia effects and the side effects of two groups. Results：The comprehensive quality of postoperative analgesia in group A was superer than group B,and the time of analgesia was longer than group B（P〈0.05） ;The rates of nausea in group A and group B were respectively 15.4% and 19. 2% ,the rates of skin itch were respectively 11.5% and 15.4%,and there were no significant differences in two groups （P〉0.05）. Conclusion：The quality of postoperative analgesia of brachial plexus block with local anesthetic drugs and small dosage of morphine before surgery is superer obviously than injection of morphine into brachial plexus nerves after surgery.

关 键 词：麻醉药 局部 吗啡/治疗应用 镇痛药 阿片类/治疗应用 臂丛 神经传导阻滞 上肢/外科学 疼痛 手术后/药物疗法 人类 

分 类 号：R971.1[医药卫生—药品] R658.2[医药卫生—药学]