中国全科医学2017，Vol.20Issue(z2)：173-175,3.
布比卡因加入地塞米松对蛛网膜下腔神经阻滞麻醉下行下肢手术患者神经阻滞时效的影响
Influence of bupivacaine combined with dexamethasone on nerve block retardation of lower limb surgery patients with subarachnoid block anesthesia
摘要
Abstract
Objective To observe the influence of bupivacaine combined with dexamethasone on nerve block retardation of lower limb surgery patients with subarachnoid block anesthesia.Methods A total of 90 cases of lower limb surgery patients with subarachnoid block anesthesia were selected from December 2015 to September 2016 in Jiangning Hospital of Nanjing,which were divided into C group,D1 group and D2 group according to different anesthesia treatments,30 cases in each group.C group was injected with bupivacaine 10 mg,D1 group was injected with bupivacaine 10 mg+dexamethasone 5 mg;D2 group was injected with bupivacaine 10 mg,and than given dexamethasone 5 mg.The nerve block retardation〔maximum anesthesia block for anesthesia,time of onset of anesthesia(T1),up to the maximum plane time(T2),sensory block duration(T3),duration of postoperative analgesia(T4),duration of exercise block to the recovery time of exercise(T5)〕,and opration time,intraoperatve blood loss,intraoperative fluid replacement and the incidence of adverse reactions were compared among the three groups.Results No significant difference of maximum anesthesia block for anesthesia,T1 or T2 was found among three groups(P>0.05);D1 group of T3,T4 were longer than C group,D2 group(P<0.05);no significant difference of T3,T4 was found between C group,D2 group(P>0.05),no significant difference of T5 was found among three groups(P>0.05).No significant difference of opration time,intraoperatve blood loss,intraoperative fluid replacement or the incidence of adverse reactions was found among three groups(P>0.05).Conclusion Bupivacaine combined with dexamethasone can prolong sensory block time and the duration of postoperative analgesia of lower limb surgery patients with subarachnoid block anesthesia without affecting the duration of motor block,and with less adverse reactions.关键词
麻醉,局部/地塞米松/自主神经传导阻滞Key words
Anesthesia,local/Dexamethasone/Autonomic nerve block分类
医药卫生引用本文复制引用
严泽林,杨磊,庆晓峰,汪伟..布比卡因加入地塞米松对蛛网膜下腔神经阻滞麻醉下行下肢手术患者神经阻滞时效的影响[J].中国全科医学,2017,20(z2):173-175,3.基金项目
南京市江宁区科技发展计划(2015Eg06) （2015Eg06）
