地佐辛复合局麻药在臂丛神经阻滞麻醉中的应用

Application of Dezocine combined with local anesthetic in brachial plexus block anesthesia

目的分析地佐辛复合局麻药在臂丛神经阻滞麻醉中的应用效果。方法选取2014年5月-2015年4月我院收治的100例手外伤患者按就诊顺序的先后分为研究组和对照组各50例。所有患者均行臂丛神经阻滞麻醉。对照组的麻醉液为0.5%罗哌卡因和1%利多卡因混合液;研究组麻醉液为0.5%罗哌卡因、1%利多卡因及地佐辛混合液。比较两组感觉阻滞起效时间、运动阻滞起效时间、麻醉持续时间及术前、术后生命体征、麻醉满意度、不良反应发生率。结果研究组感觉阻滞起效时间、运动阻滞起效时间均较对照组短（P〈0.05）;研究组麻醉持续时间较对照组长（P〈0.05）;两组术前、术后生命体征差异均无统计学意义（P〉0.05）;研究组患者对麻醉总满意度明显高于对照组（P〈0.05）;两组不良反应发生率差异无统计学意义（P〉0.05）。结论地佐辛复合局麻药在臂丛神经阻滞麻醉中应用具有起效快、作用持久、不良反应少、麻醉效果好的优势。

Objective To analyze the application effect of Dezocine combined with local anesthetic to brachial plexus block anesthesia. Methods 100 patients with hand injury treated in our hospital from May 2014 to April 2015 were selected and divided into two groups according to registration order,the research group and the control group,each group for 50 cases.All patients were treated with brachial plexus block anesthesia.The anesthesia solution of the control group was the mixture of 0.5% of Ropivacaine and 1% of Lidocaine.The anesthesia solution of the research group was the mixture of 0.5% of Ropivacaine,1% of Lidocaine and Dezocine.The sensory block beginning time,motion block beginning time and anesthesia duration,the vital signs before and after operation,anesthesia satisfaction and incidence rate of adverse reactions of two groups were compared. Results The sensory block beginning time and the motion block beginning time of the research group were shorter than those of the control group（P〈0.05）.The anesthesia duration of the research group was longer than that of the control group（P〈0.05）.And there was no evident difference for the vital signs before and after operation（P〈0.05）.The total anesthesia satisfaction of the research group was evidently higher than that of the control group（P〉0.05）.The incidence rate of adverse reactions had no evident difference between two groups（P〉0.05）. Conclusion Applying Dezocine combined with local anesthetic to brachial plexus block anesthesia has the advantages of rapid effect,lasting function,fewer adverse reactions and good anesthetic effect.