[1]黄泽良 白静 王程.不同浓度局麻药对超声引导下锁骨上臂丛神经阻滞效果的影响[J].中华老年骨科与康复电子杂志,2021,(04):201-206.[doi:10.3877/cma.j.issn.2096-0263.2021.04.002]
　Huang Zeliang,Bai Jing,Wang Cheng..The effect of different concentrations of local anesthetics on the ultrasound-guided supraclavicular brachial plexus block[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2021,(04):201-206.[doi:10.3877/cma.j.issn.2096-0263.2021.04.002]
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不同浓度局麻药对超声引导下锁骨上臂丛神经阻滞效果的影响()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2021年04期
页码:
201-206
栏目:
麻醉医学
出版日期:
2021-08-05

文章信息/Info

Title:
The effect of different concentrations of local anesthetics on the ultrasound-guided supraclavicular brachial plexus block
作者:
黄泽良 白静 王程
614000 乐山市市中区人民医院麻醉科
Author(s):
Huang Zeliang;  Bai Jing;  Wang Cheng.
Department of Anesthesiology, Leshan Shizhong District People’s Hospital, Leshan 614000, China
关键词:
罗哌卡因;  超声;  锁骨;  臂丛神经;  浓度
Keywords:
Ropivacaine;  Ultrasound;  Clavicle;  Brachial plexus;  Concentrations
DOI:
10.3877/cma.j.issn.2096-0263.2021.04.002
文献标志码:
A
摘要:
目的 探讨不同浓度局麻药（罗哌卡因）对超声引导下锁骨上臂丛神经阻滞效果的影响。方法 前瞻性收集2017年1月至2018年12月本院超声引导下锁骨上臂丛神经阻滞患者80例，采用随机数字表法将患者分为A组、B组、C组、D组，每组20例。A组给予1.00%罗哌卡因，B组给予0.75%罗哌卡因，C组给予0.50%罗哌卡因，D组给予0.375%罗哌卡因，四组均注射10 ml罗哌卡因。结果 所有患者均获得完整随访，平均（11.3±2.4）个月。A组年龄22～72岁，男性12例，女性8例；B组年龄20～74岁，男性8例，女性12例；C组年龄23～75岁，男性10例，女性10例；D组年龄21～74岁，男性11例，女性9例。A组、B组、C组桡神经、尺神经、正中神经、肌皮神经感觉和运动阻滞起效时间及麻醉完善时间明显快于D组，A组[（557.2±61.4）min]、B组[（556.0±61.0）min]、C组[（553.7±60.2）min]麻醉维持时间明显长于D组[（476.5±52.6）min]（P＜0.05），A组、B组、C组麻醉效果优良率为100.00%、95.00%、95.00%，明显高于D组的70.00%（c2=9.614，P=0.004），A组、B组不良反应率为35.00%、30.00%，明显高于C组、D组的5.00%、5.00%（c2=9.972，P=0.003）。结论 不同浓度局麻药（罗哌卡因）对超声引导下锁骨上臂丛神经阻滞效果的影响存在差异，其中0.50%罗哌卡因既具有良好的阻滞效果，不会增加不良反应。
Abstract:
Objective To discuss the effect of different concentrations of local anesthetics (ropivacaine) on the ultrasound-guided supraclavicular brachial plexus block. Methods Eighty patients with ultrasound-guided supraclavicular brachial plexus block were selected prospectively in our hospital from January 2017 to December 2018, they were divided into the group A, group B, group C and group D according to the random number table, there were 20 cases in each group. The group A was given 1.00% ropivacaine, the group B was given 0.75% ropivacaine, the group C was given 0.50% ropivacaine, the group D was given 0.375% ropivacaine, and the four groups were injected with 10 ml ropivacaine. Results All patients were followed up for an average of (11.3±2.4) months. In group A, there were 12 males and 8 females, the aged was 22-72. In group B, there were 8 males and 12 females, the aged was 20-74. In group C, there were 10 males and 10 females, the aged was 23-75. In group D, there were 11 males and 9 females, the aged was 21-74. The sensory and motor block onset time of radial nerve, ulnar nerve, median nerve, musculocutaneous nerve and the anesthesia completion time in the group A, group B and group C were significantly faster than those in the group D, and the duration of anesthesia in the group A [(557.2±61.4)min], group B [(556.0±61.0)min] and group C [(553.7±60.2)min] were significantly longer than those in group D [(476.5±52.6)min] (P<0.05). The excellent and good rate of anesthesia effect in the group A, group B and group C were 100.00%, 95.00% and 95.00%, which were significantly higher than the 70.00% in the group D, the difference was statistically significant (c2=9.614, P=0.004). The adverse reaction rate in the group A and group B were 35.00% and 30.00%, they were significantly higher than the 5.00% in the group C and the 5.00% in the group D, the difference was statistically significant (c2=9.972, P=0.003). Conclusions Different concentrations of local anesthetics (ropivacaine) have different effects on ultrasound-guided supraclavicular brachial plexus block,and among them, the 0.50% ropivacaine not only has the good blocking effect, but also does not increase the adverse reactions.

备注/Memo

备注/Memo:
基金项目：乐山市重点研究项目（16SZD105）
更新日期/Last Update: 2021-08-24