咪达唑仑联合舒芬太尼用于臂丛神经阻滞下上肢手术的镇静效果  

Midazolam and snfentanil infusion in the brachial plexus block under the upper limb surgery

作　　者：王元[1] 张卫[1] 

机构地区：[1]郑州大学第一附属医院麻醉科,450052

出　　处：《中国实用医刊》2009年第14期26-27,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨舒芬太尼和咪达唑仑复合臂丛神经阻滞用于上肢手术的镇静效果及安全性。方法臂丛神经阻滞下行上肢手术的患者60例随机分为咪达唑仑复合芬太尼（Fe）组、咪达唑仑复合舒芬太尼（Su）组，每组30例。监测麻醉过程中各时点血压、心率、呼吸频率及血氧饱和度，记录手术时间和感觉阻滞时间，对各组进行镇静程度评估，同时记录不良反应的发生情况。结果两组血压、心率、呼吸频率和血氧饱和度比较差异无统计学意义（P〉0．05），Su组镇静效果优于Fe组，不良反应发生率低于Fe组，差异均有统计学意义（P〈0．05）。结论咪达唑仑和舒芬太尼复合臂丛神经阻滞应用于上肢手术更安全有效。Objective To evaluate the efficacy and safety of brachial plexus nerve block with sufentanil and madazolm for patients of upper limb surgery. Methods Sixty patients of upper extermity surgery were randomly divided into fentanyl group and sufentanil group. Every group has thirty patients. The blood pressure （ BP ） , heart rate （HR） , respiratory rate（RR） and pulse oxygen saturation（ SpO2 ） were measured. The operation time and feeling block time were recorded. Ramsay calm score were doing in the two groups and meanwhile side effects were recorded. Resuits BP, HR, RR and SpO2 had no significant difference in the two groups. The incidence rate of side - effects in fentanyl group was higher than in sufentanil group. The sedative effects in sufentanil group was better than in fentanyl group. Conclusions The method of brachial plexus nerve block with sufentanil and madazolm for patients of upper extermity surgery is better safe and effective.

关 键 词：咪达唑仑 舒芬太尼 臂丛神经阻滞 上肢手术 

分 类 号：R614[医药卫生—麻醉学]