探讨基于B超定位引导舒芬太尼与罗哌卡因在臂丛神经阻滞中的应用效果  

The Application of Sufentanil and Ropivacaine in Brachial Plexus Block Based on B-ultrasound Positioning

作　　者：曲鹰 QU Ying(Department of Anesthesiology,Heze Second People's Hospital,Heze,Shandong Province,274000 China)

机构地区：[1]菏泽第二人民医院麻醉科,山东菏泽274000

出　　处：《中外医疗》2020年第33期94-96,共3页China & Foreign Medical Treatment

摘　　要：目的探讨基于B超定位引导舒芬太尼与罗哌卡因在臂丛神经阻滞中的应用效果。方法随机选取于该院骨外科2019年5—12月时段内接受手术治疗的90例患者为对象展开研究分析,以患者的麻醉方案划分为两组,其中45例基于B超定位引导实施罗哌卡因臂丛神经阻滞麻醉(对照组),剩余45例基于B超定位引导实施舒芬太尼复合罗哌卡因臂丛神经阻滞麻醉(研究组),比较分析两组患者的麻醉起效时间、麻醉维持时间、麻醉效果以及不同时点注药VAS评分。结果研究组麻醉维持时间(722.89±152.10)min长于对照组(487.87±114.67)min,组间差异有统计学意义(t=8.277,P<0.05);研究组注药6 hVAS评分(0.66±0.71)分、12 hVAS评分(1.54±1.01)分、24 hVAS评分(1.03±0.31)分均低于对照组(1.54±1.12)分、(2.96±1.05)分、(1.98±0.44)分,组间差异有统计学意义(t=4.452、6.538、11.840,P<0.05)。结论基于B超定位引导实施舒芬太尼复合罗哌卡因臂丛神经阻滞麻醉,可以有效延长患者的麻醉时间与镇痛时间。Objective To explore the application effect of sufentanil and ropivacaine in brachial plexus block based on B-ultrasound.Methods Randomly selected 90 patients who underwent surgical treatment during the period of May to December 2019 in the orthopedic surgery department to conduct research and analysis,and divide the patients into two groups based on the anesthesia plan of the patients.Among them,45 cases underwent ropivacaine brachial plexus block anesthesia based on B-ultrasound positioning(control group),the remaining 45 cases underwent sufentanil combined with ropivacaine brachial plexus block anesthesia based on B-ultrasound positioning(study group),the anesthesia onset time,anesthesia maintenance time,anesthesia effect and VAS scores of different time points were compared and analyzed.Results The duration of anesthesia maintenance in the study group was(722.89±152.10)min longer than that in the control group(487.87±114.67)min,and the difference between the groups was statistically significant(t=8.277,P<0.05);the study group was injected with 6 h VAS score(0.66±0.71)points,12 h VAS score(1.54±1.01)points,24 hVAS score(1.03±0.31)points were lower than the control group(1.54±1.12)points,(2.96±1.05)points,(1.98±0.44)points,there were differences between groups statistically significant(t=4.452,6.538,11.840,P<0.05).Conclusion Sufentanil combined with ropivacaine for brachial plexus block anesthesia can effectively prolong the time of anesthesia and analgesia,which is worth popularizing.

关 键 词：B超定位 舒芬太尼 罗哌卡因 臂丛神经阻滞 

分 类 号：R614[医药卫生—麻醉学]