超声联合神经刺激仪引导下不同浓度罗哌卡因臂丛神经阻滞用于锁骨骨折手术的效果分析  

Effect of Brachial Plexus Block with Different Concentration of Ropivacaine under the Guidance of Ultrasound Combined with Neurostimulator for Clavicle Fracture Surgery

作　　者：官广毅 黄华佑 罗卫 唐小松 陈玉娟 罗敏怡 陈燕冰 GUAN Guangyi;HUANG Huayou;LUO Wei;TANG Xiaosong;CHEN Yujuan;LUO Minyi;CHEN Yanbing(Yangxi General Hospital People's Hospital,Yangxi 529800,China)

机构地区：[1]阳西总医院人民医院,广东阳西529800

出　　处：《中外医学研究》2023年第32期143-146,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：阳江市医疗卫生科技计划项目(SF2021215)。

摘　　要：目的:比较超声联合神经刺激仪引导下不同浓度罗哌卡因臂丛神经阻滞用于锁骨骨折手术的效果。方法:纳入2021年7月—2023年3月于阳西总医院人民医院接受锁骨骨折手术的120例患者作为研究对象。采用随机数表法将患者分为甲组、乙组和丙组,各40例。三组均在超声联合神经刺激仪引导下采用不同浓度罗哌卡因进行臂丛神经阻滞,其中甲组使用0.25%罗哌卡因20 mL,乙组使用0.375%罗哌卡因20 mL,丙组使用0.50%罗哌卡因20 mL。比较三组麻醉起效时间、持续时间、麻醉效果、麻醉相关不良反应发生情况。结果:三组感觉阻滞起效时间比较,差异无统计学意义(P>0.05);甲组运动阻滞起效时间较乙组、丙组长,差异有统计学意义(P<0.05);丙组感觉、运动阻滞持续时间较甲组、乙组长,乙组感觉、运动阻滞持续时间较甲组长,差异有统计学意义(P<0.05)。乙组和丙组麻醉总有效率高于甲组,差异有统计学意义(P<0.05);但乙组和丙组麻醉总有效率比较,差异无统计学意义(P>0.05)。甲组不良反应发生率低于乙组、丙组,乙组不良反应发生率低于丙组,差异有统计学意义(P<0.05)。结论:锁骨骨折手术在超声联合神经刺激仪引导下使用0.375%或0.50%罗哌卡因进行臂丛神经阻滞麻醉的效果相当,均优于0.25%罗哌卡因,但相比于0.50%罗哌卡因,0.375%罗哌卡因不良反应发生率更低。Objective:To compare the effect of brachial plexus block with different concentration of Ropivacaine under the guidance of ultrasound combined with neurostimulator for clavicle fracture surgery.Method:A total of 120 patients who underwent clavicle fracture surgery in Yangxi General Hospital People's Hospital from July 2021 to March 2023 were included in the study,the patients were divided into group A,group B and group C by random number table method,with 40 cases in each group.All three groups were given brachial plexus block with different concentration of Ropivacaine under the guidance of ultrasound combined with neurostimulator,group A was treated with 0.25%Ropivacaine 20 mL,group B was given 0.375%Ropivacaine 20 mL and group C was given 0.50%Ropivacaine 20 mL.The anesthesia onset time,anesthesia maintenance time,anesthesia effect and anesthesia-related adverse reactions were compared among three groups.Result:There was no significant difference in the onset time of sensory block among the three groups(P>0.05);the onset time of motor block in group A was longer than that in group B and group C,the differences were statistically significant(P<0.05);the duration of sensory and motor block in group C were longer than those in group A and group B,while the duration of sensory and motor block in group B were longer than those in group A,the differences were statistically significant(P<0.05).The total effective rate of anesthesia in group B and group C were higher than that in group A,and the differences were statistically significant(P<0.05);however,there was no significant difference in the total effective rate of anesthesia between group B and group C(P>0.05).The incidence of adverse reactions in group A was lower than that in group B and group C,the incidence of adverse reactions in group B was lower than that in group C,the differences were statistically significant(P<0.05).Conclusion:In the operation of clavicle fracture,the effect of 0.375%or 0.50%Ropivacaine for brachial plexus block anesthesia under the gu

关 键 词：超声 神经刺激仪 罗哌卡因 臂丛神经阻滞 锁骨骨折手术 麻醉效果 

分 类 号：R614[医药卫生—麻醉学]