罗哌卡因复合利多卡因在臂丛神经麻醉中的临床应用效果  

Clinical Application Effect of Ropivacaine Compounded with Lidocaine in Brachial Plexus Anesthesia

作　　者：詹中利 ZHAN Zhongli(Department of Anesthesiology,Yangzhou Jiangdu Hospital of Traditional Chinese Medicine,Jiangdu,Jiangsu Province,225200 China)

机构地区：[1]扬州市江都中医院麻醉科,江苏江都225200

出　　处：《系统医学》2024年第6期73-76,共4页Systems Medicine

摘　　要：目的探讨臂丛神经麻醉中联合应用罗哌卡因与利多卡因的效果。方法选取2021年10月—2023年8月扬州市江都中医院收治的90例臂丛神经麻醉患者为研究对象,以随机数表法分为两组,对照组(45例)予利多卡因,观察组(45例)采用罗哌卡因复合利多卡因,对比两组麻醉效果、麻醉起效时间、麻醉维持时间以及不良反应发生情况。结果观察组麻醉优良率高于较对照组(93.33%vs 75.56%),差异有统计学意义(χ^(2)=5.414,P<0.05)。观察组感觉和运动神经阻滞起效时间短于对照组,而阻滞维持时间长于对照组,差异有统计学意义(P均<0.05)。观察组不良反应总发生率低于对照组(8.89%vs 24.44%),差异有统计学意义(P<0.05)。结论在臂丛神经麻醉中应用罗哌卡因复合利多卡因,可提高麻醉优良率,缩短麻醉起效时间并延长麻醉阻滞时间,降低不良反应总发生率。Objective To investigate the effect of combined application of ropivacaine and lidocaine in brachial plexus anesthesia.Methods A total of 90 patients with brachial plexus anesthesia admitted to Jiangdu Hospital of Traditional Chinese Medicine of Yangzhou City from October 2021 to August 2023 were selected as the study objects and divided into two groups by random number table method.The control group(45 cases)received lidocaine,and the observation group(45 cases)received ropivacaine combined with lidocaine.The anesthetic effect,onset time,maintenance time and the occurrence of adverse reactions were compared between the two groups.Results The excellent and good rate of anesthesia in observation group was higher than that in control group(93.33%vs 75.56%),and the difference was statistically significant(χ^(2)=5.414,P<0.05).The onset time of sensory and motor block in observation group were shorter than those in control group,and the maintenance time of sensory and motor block were longer than those in control group,and the differences were statistically significant(all P<0.05).The total incidence of adverse reactions of the observation group was lower than that of the control group(8.89%vs 24.44%),and the difference was statistically significant(P<0.05).Conclusion The application of ropivacaine combined with lidocaine in brachial plexus anesthesia can improve the rate of anesthesia excellence,shorten the onset time of anesthesia and prolong the duration of anesthesia block,and reduce the total incidence of adverse reactions.

关 键 词：臂丛神经麻醉 罗哌卡因 利多卡因 应用效果 

分 类 号：R614[医药卫生—麻醉学]