臂丛神经阻滞加用地塞米松和小剂量吗啡用于术后镇痛的效果观察  

The observation of the postoperative analgesia effectiveness about dexamethasone and a litte dose morphine in the brachial plexus block

作　　者：卢尚亭 李爱荣[1] 

机构地区：[1]山东省单县中心医院麻醉科,单县274300

出　　处：《海南医学》2002年第7期12-13,共2页Hainan Medical Journal

摘　　要：目的　观察臂丛神经阻滞的局麻药液中加入地塞米松和小剂量吗啡用于术后镇痛的效果和副作用。方法　 80例患者随机分为A、B、C、D四组。全部用肌间沟法臂丛神经阻滞 ,A组 (n =2 0 )注入 0 5 %布比卡因、2 %利多卡因等量混合液 2 5ml;B组 (n =2 0 )注入A组用药加地塞米松 1 0mg(2ml) ;C组 (n =2 0 )注入A组用药加吗啡 2mg(0 2ml) ;D组 (n =2 0 )注入A组用药加地塞米松 1 0mg(2ml)、吗啡 2mg(0 2ml)。结果　B、C、D组与A组相比起效时间显著缩短、镇痛时间显著延长 ,差异非常显著 (P <0 0 1 ) ;而D组和B、C组相比镇痛时间又明显延长 ,差异非常显著 (P <0 0 1 ) ;C组中有 1例 (5 % )因发生恶心呕吐 ,其余多组无并发症发生。结论　臂丛神经阻滞的局麻药液中加入地塞米松和小剂量吗啡用于术后镇痛 ,镇痛时间长 ,效果可靠 ,副作用少 ,操作方便 ,经济实用。Objectives: To observe the effectiveness and side reaction of appling dexamethasone (DXM)and morphine to local anesthesia liquid in brachial plexas block Methods:80 cases were divided into A?B?C and D four groups by random All cases were used the intermuscular groove method 25ml 0 5% bupivacaine and 2% lidocaine were injected into in A group; 10mg(2ml) DXM was plused to the A group medicine in the B group; 2mg(0 2ml) morphine was plused to the A group medicine in the C group; 2mg(0 2ml) morphine and 10mg(2ml) DXM were plused to the A group medincine in the D group Results: The time of reaction in B?C and D groups was shorter than that of A group, the time of analgesia in B?C and D groups were longer than that of A group, the difference was notable(P<0 01) To compere D group with B group and C group,the time of analgesia in D group was longer, the difference was notable(P<0 01) A cast(5%) in C group had naused and vomit, the others in all groups had no complications Conclusions: DXM and morphine were plused into the local cmathesia medicine of brachial plexus block, the analgia time and effectivement were good, which had little side reaction and easily opereted

关 键 词：术后镇痛 臂丛神经阻滞 地塞米松 吗啡 

分 类 号：R619[医药卫生—外科学] R971.2[医药卫生—临床医学]