糖尿病与非糖尿病患者臂丛神经阻滞起效时间和恢复时间的差异  

Difference of onset time and recovery time of brachial plexus block between diabetic and non-diabetic patients

作　　者：黄标新 丁晓光 叶月华 田山 熊飞 HUANG Biao-xin;DING Xiao-guang;YE Yue-hua;TIAN Shan;XIONG Fei(Department of Anesthesiology,HaojiangXinsheng Orthopaedic Hospital,Shantou 515000,Guangdong,CHINA)

机构地区：[1]濠江新圣骨科医院麻醉科,广东汕头515000

出　　处：《海南医学》2019年第9期1137-1139,共3页Hainan Medical Journal

基　　金：广东省汕头市科技计划医疗卫生类别项目(编号:170821101930503)

摘　　要：目的比较糖尿病与非糖尿病患者超声神经刺激仪引导下臂丛神经阻滞的起效时间与恢复时间的差异。方法选取2018年2～8月濠江新圣骨科医院收治的30例择期行上肢手术的糖尿病患者作为观察组,同期行上肢手术的30例非糖尿病患者作为对照组,记录并对比两组患者感觉神经和运动神经阻滞起效时间和恢复时间。结果观察组患者的正中神经阻滞起效时间、尺神经阻滞起效时间和桡神经阻滞起效时间分别为(6.15±1.17) min、(8.07±2.21) min、(4.27±0.94) min,均明显短于对照组的(7.84±1.35) min、(10.15±2.55) min、(5.65±1.11) min,差异均有统计学意义(P<0.05);观察组患者的运动神经阻滞起效时间为(9.55±1.94) min,明显短于对照组的(12.48±4.38) min,恢复时间为(342.64±41.27) min,明显长于对照组的(306.92±44.64) min,差异均有统计学意义(P<0.05)。结论糖尿病患者行超声神经刺激仪引导下臂丛神经阻滞起效较非糖尿病患者快,阻滞恢复时间延长,因此在进行臂丛神经阻滞时应当适当降低用药量。Objective To investigate the difference of onset time and recovery time of ultrasound- and nerve stimulator-guided brachial plexus block in diabetic and non-diabetic patients. Methods Thirty patients with diabetes mellitus who underwent selective upper limb surgery in Haojiang Xinsheng Orthopaedic Hospital from February 2018 to August 2018 were selected as the observation group, and 30 non-diabetic patients who underwent upper limb surgery at the same time were selected as the control group. The onset time and recovery time of sensory and motor nerve block were recorded and compared between the two groups. Results The onset time of median nerve block, ulnar nerve block, and radial nerve block in the observation group were (6.15±1.17) min,(8.07±2.21) min,(4.27±0.94) min, respectively, which were significantly shorter than (7.84±1.35) min,(10.15±2.55) min,(5.65±1.11) min in the control group (P< 0.05). The onset time of blockade was (9.55±1.94) min, significantly shorter than (12.48±4.38) min of control group, while recovery time was (342.64±41.27) min, significantly longer than (306.92±44.64) min of control group. The differences were all statistically significant (P<0.05). Conclusion Ultrasound- and nerve stimulator-guided brachial plexus block in patients with diabetes mellitus has a faster onset and longer recovery time than in non-diabetic patients. Therefore, the dosage of drugs should be appropriately reduced during brachial plexus block in diabetic patients.

关 键 词：神经刺激仪 臂丛神经阻滞 感觉神经 神经阻滞恢复时间 糖尿病 

分 类 号：R614.4[医药卫生—麻醉学]