相同剂量不同浓度罗哌卡因用于肌间沟臂丛神经阻滞的对比效果  

The same dose of different concentrations of ropivacaine for interscalene brachial plexus block Contrast effect

作　　者：蒋卓汛 

机构地区：[1]广西南宁市医科大学第一附属医院麻醉科,广西南宁530021

出　　处：《世界最新医学信息文摘》2013年第18期17-18,共2页World Latest Medicine Information Electronic Version

摘　　要：目的分析相同剂量不同浓度罗哌卡因在肌间沟径路臂丛阻滞中的效果。方法120例患者分甲乙丙三组各40例。对患者采用神经刺激仪进行定位，然后进行肌间沟径路臂丛神经阻滞；使用生理盐水进行稀释，甲乙丙三组的药液分别为：20ml（0．75％）、30ml（0．5％）、40ml（0．375％）。结果三组患者进行臂丛阻滞前、后，其生命体征都比较平稳。感觉阻滞：甲起效最快，但阻滞范围窄，持续时间长；丙组最慢，但阻滞范围宽，且恢复快。三组对肘关节的运动阻滞起效比较，甲最快，丙最慢。丙不良反应几率最高。结论相同剂量不同浓度罗哌卡因在肌间沟径路臂丛阻滞中的效果不同，差异较大。Objective To analyze the different concentrations of the same dose of ropivacaine interscalene brachial plexus block in the pathway effect. Methods 120 patients were divided into three groups of 40 cases of ABC. For patients with nerve stimulator to locate, and then pathways interscalene brachial plexus block; using saline to dilute liquid B, and C groups, respectively： 20ml （0.75%）, 30ml （0.5%）, 40ml （0.375%）. Results for brachial plexus block three groups of patients before and after their vital signs are relatively stable. Sensory block： A onset fastest, but blocking a narrow range of long duration; Group C of the slowest, but block range, and rapid recovery. Three groups on the elbow motor block onset compared to the fastest A, C is the slowest. C. Adverse reactions highest probability. Conclusion same dose at different concentrations of ropivacaine interscalene brachial plexus block in the pathway different effects, quite different.

关 键 词：相同剂量 罗哌卡因 不同浓度 

分 类 号：R614.3[医药卫生—麻醉学]