丙泊酚在神经阻滞麻醉中的辅助镇痛效果观察  

Observation of auxiliary analgesic effect of propofol during nerve block anesthesia

作　　者：刘娟[1] 

机构地区：[1]南京江北人民医院麻醉科,南京210048

出　　处：《河南医学研究》2014年第5期20-22,共3页Henan Medical Research

摘　　要：目的:探析上肢或颈部手术中采用丙泊酚辅助神经阻滞麻醉的镇痛效果。方法:选取南京江北人民医院2012年5月至2013年12月择期行上肢或颈部手术的80例患者,根据入院先后顺序分为两组各40例,神经阻滞成功后,对照组未予辅助镇痛用药,观察组使用丙泊酚进行辅助镇痛,比较两组的镇痛效果及血流动力学变化。结果:观察组麻醉优良率为100.0%(40/40),显著高于对照组90.0%(36/40),差异具有统计学意义(P<0.05);两组患者麻醉前血流动力学特征大体一致,麻醉后观察组较为平稳,对照组HR和SBP均显著升高且高于观察组,差异均具有统计学意义(P<0.05)。结论:丙泊酚用于神经阻滞麻醉的辅助用药可强化镇痛效果,提高麻醉效果,稳定血流动力学情况。Objective ： To analyze the auxiliary analgesic effect of propofol in nerve block anesthesia for upper limb or neck surgeries. Methods ： 80 patients with upper limb or neck surgeries were di- vided into two groups according to admission date from May 2012 to December 2013 in Nanjing Jiangbei People＇ s Hospital, 40 cases in each group. After the success of nerve block, control group was not given any auxiliary drug while observation group was given propofol. Analgesic effects and hemodynamic changes of two groups were compared. Results： Excellent and good rate of anesthesia of observation group was 100.0% （40/40） , obviously higher than control group with 90.0% （36/40） （P 〈0.05）. Hemodynamic characteristics of the two groups were approximately the same before anesthesia, observation group was more stable after anesthesia. HR and SBP of control group were increased and higher than observation group after anesthesia （P 〈 0.05）. Con- clusion： Propofol used as an auxiliary drug in nerve block anesthesia could strengthen analgesic effect, improve anesthetic effect and stabilize hemodynamic condition.

关 键 词：神经阻滞麻醉 丙泊酚 辅助镇痛 

分 类 号：R614.4[医药卫生—麻醉学]