低浓度罗哌卡因颈丛麻醉在锁骨骨折手术中的应用

The application of low-dose ropivacaine for cervical plexus anesthetic in the operation of collar-bone fracture

目的:观察低浓度罗哌卡因颈丛麻醉在锁骨骨折手术中的应用。方法:选颈丛阻滞麻醉,在c4横突处穿刺,给予0.25％罗哌卡因,分别在深丛7mL、浅丛15mL,共22mL注入。并与同样方法注入0.15％地卡因和1.00％利多卡因混合液22mL(加1:200 000肾上腺素)作比较。结果:麻醉效果,观察组有效率95.6％,对照组有效率95.4％,二组无明显差异。副作用,观察组明显少于对照组,有显著差异(P<0.05)。结论:低浓度罗哌卡因进行颈丛麻醉效果好,副作用轻,与其他方法相比,该方法较好。

Objective: To observe the application of low-dose ropivacaine for cervical plexus anesthetic in the operation of collarbone fracture. Method: The cervical plexus were selected to block anesthetic and punctured at c4 transverse. 7mL ropivicaine (0.25%) was given to deep plexus and 15mL to shallow plexus comparing with the same way by mixture solution of tetracaine (0. 15% ) and lidocaine (1. 00% ). Result: The anesthetic effective rate of observation group and controlled group were 95. 6% and 95.4% respectively and no significant difference between them. For the side effect, there had a significant difference between the two groups. The side effect of observation group was less than the controlled group. ( P < 0. 05 ) Conclusion: The anesthetic effect of low-dose ropivaciane was good and had little side effect. It is a good way for the cervical plexus anesthetic.