中国社区医师Issue(34)：24-25,27,3.DOI:10.3969/j.issn.1007-614x.2014.34.12
全麻复合臂丛阻滞麻醉在上肢手术中的应用
Application of general anesthesia combined with brachial plexus block in upper limb surgery
摘要
Abstract
Objective:To compare the anesthetic effects and the impact on intraoperative anesthesia and postoperative recovery of general anesthesia combined with brachial plexus block and general anesthesia in upper limb surgery.Methods:62 patients with upper limb surgery were divided into the general anesthesia group(GA group) and the general anesthesia combined with brachial plexus block group(GB group) randomly.GA group underwent postoperative controlled infusion analgesia(PCIA).GB group accepted continued plexus analgesia pump, observing the total dosage of propofol and sufentanil respectively,postoperative recovery time,extubation time,adverse events including nausea and vomiting,and the postoperative analgesia evaluation.Results:The total amount of propofol and sufentanil of GB group was less than that of the GA group.The postoperative recovery time, extubation time were shorter than those of GA group.VAS scores were significantly lower than those of GA group.The total drug dosage for postoperative analgesia of GB group decreased and the frequency of PCA pressed decreased,which had less postoperative adverse reactions.The differences were statistically significant (P<0.05).Conclusion:General anesthesia combined with brachial plexus block and general anesthesia can be applied to patients with upper limb surgery,but general anesthesia combined with brachial plexus block has more advantages on anaesthetic dosage,postoperative analgesia and adverse reactions.关键词
全麻/臂丛阻滞/上肢手术/镇痛Key words
General anesthesia/Brachial plexus block/Upper limb surgery/Analgesia引用本文复制引用
王琼华,方晏红,杨帆,李卫东..全麻复合臂丛阻滞麻醉在上肢手术中的应用[J].中国社区医师,2014,(34):24-25,27,3.
