摘要
目的研究布托啡诺复合利多卡因和左旋布比卡因用于臂丛神经阻滞的镇痛效果。方法选择上肢手术患者40例,ASAⅠ或Ⅱ级,随机均分为两组,A组:0.06%布托啡诺+1%利多卡因+0.375%左旋布比卡因20 ml,B组:1%利多卡因+0.375%左旋布比卡因20 ml。分别记录两组麻醉起效时间、痛觉消失时间、镇痛持续时间,同时采用VAS评分评价镇痛效果。结果 A组镇痛持续时间明显长于B组(P<0.05)。A组麻醉后4、6、8 h静息VAS评分显著低于B组(P<0.05)。结论布托啡诺复合利多卡因和左旋布比卡因用于臂丛神经阻滞能够延长麻醉镇痛持续时间。
Objective To observe the effect of butorphanol together with local anesthetics on brachial plexus block. Methods Forty patients of ASA Ⅰ or Ⅱ grade were randomly divided into group A and B. They received brachial plexus blockade with 0. 06% butorphanol, 1% lidoeaine and 0. 375% levobupivaeaine in 20 ml or just 1% lidocaine and 0. 375% levobupivacaine in 20 ml. The time of anesthesia onset, the time to completely anesthesia, duration of anesthesia and postoperative VAS were recorded. Results The duration of anesthesia in group A was significantly longer than that in group B（P〈0. 05）. VAS scores at 4,6,and 8 h postoperatively were lower than those in group B （P〈0. 05）. Conclusion Braehial plexus blockade with butorphanol, lidoeaine and levobupivacaine can prolong the anesthesia time.
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
2011年第10期968-969,共2页
Journal of Clinical Anesthesiology
