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1、布托啡诺超前镇痛对罗哌卡因臂丛阻滞效果影响的临床评价王德明张元信孙永兴何旭r摘要]目的评价布托啡诺超前镇痛对罗哌卡因臂丛阻滞效果的影响。方法选择80例拟行前臂与手部手术的成年男性患者,ASAI-II级。随机分为四组(n=20),每组均用4mg/ml罗哌卡因40ml作腋路臂从神经阻滞,各组局麻药均不加肾上腺素。A组:对照组,臂丛神经阻滞前5min静注安慰剂。B组、C组、D组分别在臂丛神经阻滞前5min静注布托啡诺0.5mg>lmg>2mgo在麻醉后5、10、15、20、30、45、60min对麻醉质量
2、进行评价,记录麻醉起效时间、麻醉维持时间、手术时间、围术期各时间点的疼痛评分,疼痛程度采用“视觉模拟评分法”(VAS)评定、不良反应发生率。结果麻醉维持时间A组略短于B组,但两组比较差异无显著性(Q0.05);C组、D组明显长于A组、B组(/弋0・01)。术后8h、12h、24h时疼痛评分(VAS),A组、B组高于C组、D组(/KO.01)。C组、D组辅助用药量明显低于A组和B组。结论布托啡诺超前镇痛效果确切,能够增强罗哌卡因臂从神经阻滞效果,延长术后镇痛吋间,不良反应发生率低,值得临床米用。[关键
3、词h布托啡诺;超前镇痛;臂丛神经阻滞;罗哌卡因布托啡诺超前镇痛对罗哌卡因臂丛麻醉效果影响的临床评价EffectsofbutorphanolpreempitiveanalgesiaonbrachialplexusblockwithropivacaineWANGDe~ming,ZHANGYuan-xin,SUNYong~xing,etal.Dcpartmcntofanacsthcsia^theCenterofHandSurgery,401sthospitalofthePLA,Qingdao266071,
4、China[Abstract]ObjectiveToevaluatetheclinicaleffectsofbutorphanolpreempitiveanalgesiaonbrachialplexusblockwithropivacaine.MethodsEightyadultmalepatients(ASAI-II)undergoingforearmorhandsurgeryweredividedrandomlyintofourgroups.Everygroupreceived4mg/mlrop
5、ivacaine40mlinaxillaryapproachbrachialplexusblock.GroupA(controlgroup)intravenousinjectedthepatientwithplacebobefore5minbrachialplexusblock.GroupBgroupCandgroupD(testgroup)respective!yintravenousinjectedthepatientwithbutorphanol0.5mg>lmgand2mgbefore5mi
6、nbrachialplexusblock.Allblokswereperformedbythesameanaesthetist.Thedegreeofnerveblockadewasevaluatedat5,10,15,20,30,40and60minafterlocalanesthticinfusion.Theonsettimeofbothfeelingandmotorblock;thedurationtimeofnerveblockade;intra-andpostoperativeVAS(th
7、evisualanaloguescale)scores,complicationsandsideeffectswererecorded.ResultsThedurationofnerveblockadeingroupBwaslongerthanthatingroupA(/^>0.05),ThedurationofnerveblockadeingroupCandDwasobviouslongerthanthatingroupAandB(/KO.01).Atthesametime,thescoresof
8、VASatpostoperative8h>12h>24hingroupAandBwashigherthanthatingroupCandD(/K0.01).ThedosageofadjuvantingroupCandDwaslessthanthatingroupAand作者单位:266071山东省青岛市,解放军第401医院全军手外科中心麻醉科(王徳明、张元信、何旭);首都医科大学附属北京同仁医院麻醉科(孙永兴))B.ConclusionTheeffectofbutor