超声引导下锁骨上径路臂丛神经阻滞的局麻药剂量被引量：2

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摘要目的探讨超声引导下锁骨上径路臂丛神经阻滞的局麻药剂量。方法择期上肢手术患者60例,所有患者都在超声引导下0.4%罗哌卡因三靶点注射法完成阻滞,根据剂量不同随机分为3组:18 ml组、15 ml组、12 ml组,每组20例。记录臂丛各支神经支配域痛觉消失时间、镇痛持续时间、评价各神经支配感觉、运动阻滞效果、切皮时的麻醉效果并观察并发症的发生情况。结果痛觉消失时间、感觉阻滞效果3组差异均无统计学意义(均P>0.05);正中神经运动阻滞效果18 ml组、15 ml组优于12 ml组,差异均有统计学意义(均P<0.05),其余运动神经阻滞效果3组间差异均无统计学意义(均P>0.05);镇痛维持时间18 ml组、15 ml组长于12 ml组,差异均有统计学意义(均P<0.05);切皮时麻醉效果18 ml、15 ml组优于12 ml组,差异均有统计学意义(均P<0.05);止血带反应在各组间3组差异均无统计学意义(均P>0.05),各组均未出现明显的并发症。结论超声引导下采用0.4%罗哌卡因18 ml与15 ml行锁骨上径路臂丛神经阻滞均能达到相似且满意的临床效果,在考虑安全性及选择较小剂量情况下,15 ml是较好的选择。

作者胡小玲谢红

机构地区苏州大学附属第二医院麻醉科

出处《苏州大学学报（医学版）》 CAS 2012年第3期426-428,共3页 Suzhou University Journal of Medical Science

关键词超声检查臂丛神经传导阻滞罗哌卡因

分类号 R971.2 [医药卫生—药品]

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