罗哌卡因连续臂丛阻滞用于术后镇痛

Continued Braehial Plexue Block With Ropivacine After Operation

目的 :寻求一种上肢手术后镇痛效果好 ,方法简便 ,全身不良反应少的镇痛方法。方法 :选择上肢手术病例 4 0例 ,采用连续臂丛阻滞 ,术后用镇痛泵 2ml/h连续输注 0 15 %罗哌卡因 +地塞米松 0 1mg/ml镇痛。记录术后VAS(视觉模拟评分 )评分及不良反应。结果 :所有的病人术后镇痛效果皆满意 ,患肢随意运动良好 ,无明显不良反应。结论 :连续臂丛阻滞用于上肢手术术后镇痛 ,方法简便 ,效果确切。

Objective: To investigate one analgesic method following the upper extremity’s surgery which will be simple and convenient and has few bad side effect of the whole body. Method: Fourty cases undergoing the upperextremity’s surgery were selected. Each case administrated PCA pump with continued braehial plexus block analgesia 0.15% ropivacaine and dexamethasone 0.1 mg/ml at the rate of 2ml/h after operation. Postoperative VSA and side effect were recorded. Result: All patients were satisfied with the analgesia and had no side effect. Conclusion:Continuous braehial plexus block analgesia used following upper extremity’s surgery was simple,convenient and exact.