神经阻滞麻醉应用右美托咪定复合布托啡诺的价值探究  

Study on the Value of Dextrometadine combined Butoronol in the Application of Nerve Block Anesthesia

作　　者：温聪聪[1] WEN Cong-cong(Huludao City Central Hospital,Huludao 125001,China)

机构地区：[1]葫芦岛市中心医院,辽宁葫芦岛125001

出　　处：《中国医药指南》2020年第16期160-161,共2页Guide of China Medicine

摘　　要：目的分析颈丛神经阻滞麻醉应用右美托咪定复合布托啡诺的价值。方法选择2017年6月至2018年6月我院收治的100例患者为研究对象。将其分为2组,每组50例。对照组受试者接受常规化颈丛神经阻滞麻醉,以此为基础,观察组受试者接受右美托咪定复合布托啡诺麻醉阻滞。分析效果。结果和对照组相比,观察组受试者的阻滞持续时长、阻滞起效时长以及持续镇痛时长明显更好,P<0.05。观察组内,不良反应发生率为6.00%(3/50),对照组内,不良反应发生率为24%(12/50)。和对照组相比,观察组不良反应发生率更低,P<0.05。和对照组相比,观察组受试者各个时间段心率以及平均动脉压明显较好,P<0.05。结论对于需要接受颈丛神经麻醉阻滞的患者,右美托咪定加布托啡诺进行处理,能够取得满意效果。右美托咪定能够起到术中镇静和镇痛的疗效。而布托啡诺能够取得超前镇痛的效果。上述二者合用可在最大程度上缓解患者痛苦,降低术后不良反应发生率,消除术中不良记忆,镇静镇痛效果明显,因此值得在临床中进一步推广应用。Objective To analyze the value of right metomidine combined butophenol in cervical plexus block anesthesia.Methods 100 patients from June 2017 to June 2018 were selected as subjects.They were divided into 2 groups of 50 patients.The control group was subjected to routine cervical plexus block anesthesia,which was used as the basis for the observation group to receive the right metomidine compound butomonol block.Analyze the effects.Results Compared with the control group,the duration of the block,the duration of the block effect and the duration of the continuous analgesia were significantly better in the group.The incidence of adverse reactions was 6.00%(3/50)in the group.The incidence of adverse reactions was 24%(12/50).Compared with the control group,the incidence of adverse reactions was lower in the observation group,P<0.05.Compared with the control group,the heart rate and average arterial pressure of the subjects in the observation group were significantly better at all times.P<0.05.Conclusion For patients who need to undergo cervical plexus anesthesia block,Rimetomidine is treated with butomonol and can achieve satisfactory results.Rimetomidine can play a sedative and analgesic effect during surgery.And Butuofeinuo can achieve the effect of advanced analgesia.The combination of the above two can relieve the patient’s pain to the greatest extent,reduce the incidence of adverse reactions after surgery,eliminate bad memories during surgery,and have obvious sedative and analgesic effects.Therefore,it is worth further promoting and applying in clinical practice.

关 键 词：神经阻滞麻醉 右美托咪定 布托啡诺 复合麻醉 

分 类 号：R614[医药卫生—麻醉学]