摘要
目的:观察甲哌卡因用于肌间沟臂丛阻滞麻醉中的有效性、安全性和可行性。方法:肌间沟臂从阻滞麻醉下行上肢手术75例随机分为利多卡因组(1.5%利多卡因麻醉)、罗哌卡因组(0.375%罗哌卡因麻醉)和甲哌卡因组(1.5%甲哌卡因麻醉),每组25例。比较3组的麻醉起效时间、作用时效、运动阻滞时间和注药后30 min运动阻滞程度、不良反应。结果:与利多卡因和罗哌卡因组比,甲哌卡因组麻醉起效时间、作用时效、注药后30 min运动阻滞程度差异有统计学意义(P<0.05)。利多卡因组需用地佐辛镇痛3例;罗哌卡因组术侧上眼睑下垂2例、声嘶4例;甲哌卡因组声嘶1例。结论:甲哌卡因用于肌间沟臂丛阻滞麻醉效果好,不良反应少,安全、可靠。
Objective:To observe the effectiveness,safety and feasibility of the interscalene brachial plexus block anesthesia with mepivacaine. Methods:Senventy-five patients with upper limb operation undergone interscalene brachial plexus block anesthesia were randomly divided into lidocaine(1.5% lidocaine),ropivacaine(0.375% ropivacaine)and mepivacaine(1.5% mepivacaine) groups,25 patients in each group. The anesthesia onset time,effect time,motor block time and 30 minutes after injection,adverse reactions were compared among groups. Results:Compared with lidocaine and ropivacaine groups,the onset time of anesthesia, time effect of 30 minutes after injection,motor block degree in the mepivacaine group had statistical significant(P0.05). There were 3 cases with dezocine in the lidocaine group,2 cases with ptosis of upper eyelid and 4 cases with hoarseness in the ropivacaine group,one cases with hoarseness in the mepivacaine group. Conclusion:Mepivacaine,with less adverse reactions and safe,can achieve satisfactory effect for interscalene brachial plexus block anesthesia.
出处
《汕头大学医学院学报》
2014年第1期52-53,61,共3页
Journal of Shantou University Medical College