临床医学工程2024，Vol.31Issue(5)：609-610,2.DOI:10.3969/j.issn.1674-4659.2024.05.0609
右美托咪定联合臂丛神经阻滞麻醉在上肢骨折手术患者中的应用效果
Application Effect of Dexmedetomidine Combined with Brachial Plexus Nerve Block Anesthesia in Patients Undergoing Upper Limb Fracture Surgery
李小磊 1邵丹1
作者信息
- 1. 郑州市骨科医院麻醉科,河南郑州 450052
- 折叠
摘要
Abstract
Objective To explore the application effect of dexmedetomidine combined with brachial plexus nerve block anesthesia in patients with upper limb fracture surgery.Methods 86 patients undergoing upper limb fracture surgery were randomly divided into basic group(43 cases,brachial plexus nerve block anesthesia)and combined group(43 cases,dexmedetomidine combined with brachial plexus nerve block anesthesia).The MAP,HR,anesthetic effect and anesthetic adverse reactions of the two groups were compared.Results Before anesthesia and 1 min after anesthesia,no statistical difference was found in the MAP and HR between the two groups(P＞0.05).30 min after anesthesia and at the end of operation,the MAP of the combined group was higher than that of the basic group,and the HR was lower than that of the basic group(P＜0.05).The onset time of sensory block and motor block in the combined group were shorter than those in the basic group,and the maintenance time of sensory block and motor block were longer than those in the basic group(P＜0.05).The incidence of hypotension in the combined group was 2.33％,lower than 18.60％in the basic group(P＜0.05).Conclusions Dexmedetomidine combined with brachial plexus nerve block anesthesia can significantly maintain hemodynamic stability,improve the anesthetic effect and reduce the incidence of hypotension in patients undergoing upper limb fracture surgery.关键词
上肢骨折手术/右美托咪定/臂丛神经阻滞麻醉/麻醉效果Key words
Upper limb fracture surgery/Dexmedetomidine/Brachial plexus nerve block anesthesia/Anesthetic effect分类
医药卫生引用本文复制引用
李小磊,邵丹..右美托咪定联合臂丛神经阻滞麻醉在上肢骨折手术患者中的应用效果[J].临床医学工程,2024,31(5):609-610,2.
