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Dex复合LBUP在下肢神经阻滞中的应用效果

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摘要 目的:探究右美托咪定(Dex)复合左旋布比卡因(LBUP)麻醉在下肢神经阻滞麻醉缓解止血带痛中的应用。方法:回顾分析东莞市中医院2017年1月至2018年1月收治的下肢骨折患者40例,按照随机表法均分两组,各20例。对照组采用LBUP麻醉,观察组采用Dex复合LBUP麻醉,观察比较两组患者止血带耐受情况、不良反应及Ramsay镇静评分。结果:治疗后观察组患者止血带耐受情况优于对照组,差异具有统计学意义(P <0.05);观察组不良反应发生低于对照组,差异具有统计学意义(P <0.05);治疗后观察组Ramsay镇静评分低于对照组,差异具有统计学意义(P <0.05)。结论:Dex复合LBUP麻醉,可提高下肢骨折患者止血带耐受性,减少患者不良反应。
作者 冯淑燕
机构地区 东莞市中医院
出处 《深圳中西医结合杂志》 2018年第17期98-100,共3页 Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
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  • 1李升.两种浓度的布比卡因用于术后镇痛对运动阻滞以及术后恢复的影响[J].中国现代医药杂志,2006,8(8):124-125. 被引量:2
  • 2Halpern SH, Leighton BL, Ohlsson A, et al. Effect of epidural vs parenteral opioid analgesia on the progress of labor: a meta?analysis[J].JAMA, 1998,280(24): 2105-2110. DOl:I0.l00lljama. 280.24.2105.
  • 3Ge DJ, Qi B, Tang G, et al. Intraoperative dexmedetomidine promotes postoperative analgesia and recovery in patients after abdominal hysterectomy: a double-blind, randomized clinical trial[J/OL]. Sci Rep, 2016, 6: 21514. DOl:IO.1038/srep21514.
  • 4Garg N, Panda NB, Gandhi KA, et al. Comparison of small dose ketamine and dexmedetomidine infusion for postoperative analgesia in spine surgery-a prospective randomized double?blind placebo controlled study[J].J Neurosurg Anesthesiol, 2016, 28(1): 27-31. DOl:IO.1097/ANA.OOOOOOOOOOOOOI93.
  • 5Selim MF, Elnabtity AM, Hasan AM. Comparative evaluation of epidural bupivacaine-dexmedetomidine and bupivacaine-fentanyl on Doppler velocimetry of uterine and umbilical arteries during labor[J].J Prenat Med, 2012, 6(3): 47-54.
  • 6Nie Y, Liu Y, Luo Q, et al. Effect of dexmedetomidine combined with sufentanil for post-caesarean section intravenous analgesia: a randomised, placebo-controlled study[J]. EurJ Anaesthesio, 2014, 31(4): 197-203. DOl:IO.1097/EJA.OOOOOOOOOOOOOOl1.
  • 7Wu HH, Wang HT,JinJ J, et al. Does dexmedetomidine as a neuraxial adjuvant facilitate better anesthesia and analgesia? A systematic review and meta-analysis[J/OL]. PloS One, 2014, 9(3): e93114. DOl:I0.13711journal.pone.0142287.
  • 8Kaur 50 AttriJP, Kaur G, et al, Comparative evaluation of ropivacaine versus dexmedetomidine and ropivacaine in epidural anesthesia in lower limb orthopedic surgeries[J]. SaudiJ Anaesth, 2014, 8 (4): 463-469. DOl:IO.4103/1658-354X.140838.
  • 9Channabasappa SM, Venkatarao GH, Girish S, et al. Comparative evaluation of dexmedetomidine and clonidine with low dose ropivacain e in cervical epidural anesthesia for modified radical mastectomy: a prospective randomized, double-blind study[J]. Anesth Essays Res, 2016, 10(1): 77-81. DOl: 10.4103/0259-1162. 167844.
  • 10) Snltan P, Murphy C, Halpern S, et al. The effect of low concentrations versus high concentrations of local anesthetics for labour analgesia on obstetric and anesthetic outcomes: a meta?analysis[J]. CanJ Anaesth, 2013, 60(9): 840-854. DOl:IO.10071 s 12630-0 13-9981-z.

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