重庆医学2013，Vol.42Issue(7)：732-733,2.DOI:10.3969/j.issn.1671-8348.2013.07.005
不同浓度罗哌卡因对肌间沟臂丛神经阻滞的临床观察
Clinical observation on different concentrations of ropivacaine in interscalene brachial plexus block
赵正兰 1方琴 1祝燕琴1
作者信息
- 1. 湖北省武汉市东西湖区人民医院麻醉科,430040
- 折叠
摘要
Abstract
Objective To explore the clinical effect and safety of different concentrations of ropivacaine in interscalene brachial plexus block. Methods 105 patients scheduled for hand or forehand surgery from January 2009 to December 2011 were randomly divided into three groups including the group A(n = 35) , B(n = 35) and C(n = 35). Interscalene brachial plexus block guided by B type ultrasound was performed separately with 0. 25 % ,0. 375% and 0. 50% ropivacaine 30 mL in three groups. The anesthetic and block effect and side effect were analyzed and compared among 3 groups. Results Compared with the group A,the time of sensory and motor block was remarkably decreased,and the duration time of analgesia was significantly increased in the group B and C(P< 0. 05). The VAS scores at 12 h after block in the group B and C were significantly lower than those in the group A(P<0. 05). The rate of adverse reactions was 8. 6% in the group A and 11. 4% in the group B,which was significantly lower than 34. 3% in the group C(P<0. 05). Conclusion The concentration of 0. 375% ropivacaine in interscalene brachial plexus block can achieve good anesthetic and block effect,and reduce the adverse reactions.关键词
罗哌卡因/肌间沟/臂丛神经阻滞Key words
ropivacaine/ interscalene/ brachial plexus block引用本文复制引用
赵正兰,方琴,祝燕琴..不同浓度罗哌卡因对肌间沟臂丛神经阻滞的临床观察[J].重庆医学,2013,42(7):732-733,2.
