不同麻醉下粘连性肩周炎手法松解术的安全性探讨  

Investigation of Security of Different Anesthesia Methods for Scapulohumeral Periarthritis Adhesiolysis

作　　者：祝永进[1] 

机构地区：[1]四川省都江堰市人民医院麻醉科,四川都江堰611830

出　　处：《河北医学》2014年第1期90-92,共3页Hebei Medicine

摘　　要：目的:了解在丙泊酚静脉麻醉与臂丛麻醉行肩周炎粘连松解术的安全性和实用性。方法:ASAⅠ-Ⅱ级患者56例,随机分成丙泊酚组(A组)和臂丛麻醉组(B组)各23例,在麻醉前均先行痛点阻滞及关节囊阻滞,比较麻醉后各组生命体征变化情况,以及两者的麻醉效果。结果:麻醉后,A组血压和心率较术前略有下降,但不超过20%,而呼吸于吸氧的情况下可以维持正常。A组麻醉效果明显较B组完善。结论:丙泊酚静脉麻醉能安全应用于肩周炎粘连松解术,效果完善而舒适。Objective：To investigate the safety and practicality of propofol intravenous anaesthesia and brachial plexus block on manipulation therapy for treating frozen shoulder .Method：56 cases of ASAⅠ-Ⅱpatients, were randomly divided into propofol group （ group A） and brachial plexus anesthesia group （ group B）, with 23 cases in each group.In advance, before anesthesia were pain point block and capsular block, to compare changes of vital signs after anesthesia ,and the anesthetic effect of both.Result：After anesthesia , blood pressure and heart rate in group A was slightly decreased , but not more than 20%, while breathing in oxygen conditions can maintain normal .The anesthesia effect in group A was better in group B than perfect . Conclusion：Propofol for intravenous anesthesia can be safely applied to scapulohumeral periarthritis adhesi-olysis, It＇s effective and comfortable .

关 键 词：肩周炎 丙泊酚 臂丛麻醉 

分 类 号：R614[医药卫生—麻醉学]