丙泊酚联合雷米芬太尼在臂丛神经阻滞麻醉患者中的应用效果分析

Analysis on the Effect of Propofol Combined Remifentanil in Patients With Brachial Plexus Block Anesthesia

目的对丙泊酚联合雷米芬太尼在臂丛神经阻滞麻醉患者中的应用效果进行探讨。方法将我院近年收治的84例臂丛神经阻滞麻醉患者按照随机数字表法分为实验组与对照组,各42例。实验组予以丙泊酚联合雷米芬太尼维持麻醉,对照组仅予以丙泊酚维持麻醉,对比两组患者的镇痛镇静效果及不良反应。结果实验组的VAS评分为(0.61±0.12)分,OAA/S评分为(1.05±0.21)分,不良反应发生率为7.14%;对照组的VAS评分为(1.02±0.20)分,OAA/S评分为(3.17±0.28)分,不良反应发生率为26.19%;差异有统计学意义(P<0.05)。结论在臂丛神经阻滞麻醉中,应用丙泊酚联合雷米芬太尼进行维持麻醉具有理想效果,且不良反应少。

Objective To study the effect ofpropofol combined remifentanil in patients with brachial plexus block anesthesia. Methods 84 cases of braehial plexus block anesthesia admitted in our hospital in recent years were randomly divided into the experimental group and the control group, 42 cases in each, with propofol combined remifentanil anesthesia and propofol respectively, sedative and analgesic effect and adverse reactions of two groups were compared. Results The VAS score was （0.61±0.12）, OAA/S score （1.05±0.21）, incidence of adverse reaction 7.14% in the experimental group versus VAS score （1.02±0.20）, OAA/S score （3.17±0.28）, incidence of adverse reaction 26.19% in control group, P 〈 0.05, with significant difference between groups. Conclusion The application of propofol combined remifentanil in brachial plexus block anesthesia hasideal effect, and less adverse reactions.