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1、连续臂丛麻醉用于上肢手术及其术后镇痛临床对比探究［摘要］目的探讨连续臂丛麻醉应用于上肢手术与其术后镇痛临床效果及意义。方法选取拟行上肢手术且ASA分级I〜II级患者110例，随机分为对照组和治疗组各55例,对照组采用常规臂丛麻醉，治疗组采用22G动静脉留置针连续臂丛麻醉。观察并记录两组患者感觉、运动阻滞起效及完善时间、10个皮区运动和感觉阻滞情况、不良反应、术后并发症及镇痛情况等指标。结果对照组和治疗组的优良率分别为83.64%和92.73%,两组比较，差异具有统计学意义(P<0.05)；治疗组平均加药量显著少于对照组，Ramsay评分显著优
2、于对照组，差异均具有统计学意义(均P<0.05)o结论连续臂丛麻醉应用于上肢手术具有操作简单、可控性强、安全性高、再次加药量少及麻醉效果满意等优点，值得临床推广。［关键词］连续臂丛麻醉；上肢手术；术后镇痛［中图分类号］R614.4［文献标识码］A［文章编号］1673-7210(2012)07(c)-0039-03ClinicalcomparativestudyofcontinuousbrachialplexusanesthesiaforupperextremitysurgeryandpostoperativeanalgesiaPUPengfe
3、ilXIEYubo21.DepartmentofAnesthesiology,TraditionalChineseMedicineHospitalofBeihaiCity,GuangxiZhuangAutonomousRegion,Beihai536000,China；2.DepartmentofAnesthesiology,theFirstAffiliatedHospitalofGuangxiMedicalUniuersity,GuangxiZhuangAutonomousRegion,Nanning530021,China[Abstrac
4、t]ObjectiveToinvestigatetheclinicaleffectandsignificanceofcontinuousbrachialplexusanesthesiaforupperextremitysurgeryandpostoperativeanalgesia.Methods110patientsofupperlimbsurgerywithASAclassificationofITIclasswerecollectedandrandomlydividedintocontrolgroupof55casesandtreatm
5、entgroupof55cases.Controlgroupwasgivenconventionalbrachialplexusanesthesiaandthetreatmentgroupwasgiven22Garteriovenousstrandedneedlecontinuousbrachialplexusanesthesia.Thesensoryandmotorblockonsetandperfectthetime,10skinareaofmotorandsensoryblockade,adverseevents,postoperati
6、vecomp1ications,analgesiaandotherindicatorsofpatientsintwogroupswereobservedandrecorded・ResuItsTheexcellentrateofthecontrolgroupandtreatmentgroupwere83.64%and92.73%,thedifferencesoftwogroupscompared(P<0.05)werestatisticallysignificant；theaveragedosageoftreatmentgroupwassign
7、ificantlylessthanthecontrolgroup；ramsayscoreresultswhichshowedthatthetreatmentgroupwassignificantlybetterthancontrolgroup(P<0.05)withstatisticallysignificant.ConclusionContinuousbrachialplexusanesthesiaappliedtotheupperextremitysurgeryhastheadvantagesofsimple,controllable,s
8、afe,lessofthedoseofdrugplus,satisfactionofanestheticeffect,whichisworthyofpromotio
