左布比卡因用于双侧肌间沟臂丛阻滞麻醉的护理配合

Nursing cooperation of levobupivacaine for bilateral interscalene brachial plexus block anesthesia

目的研究0.25%左布比卡因用于双侧肌间沟臂丛阻滞麻醉时有效的护理方法。方法 60例双上肢手术患者,采用0.25%左布比卡因配合护理用于双侧肌间沟臂丛阻滞麻醉,比较患者麻醉前和双侧阻滞麻醉后30 min的心率、呼吸频率、动脉血氧分压和动脉血二氧化碳分压的变化。结果患者麻醉前心率、呼吸频率分别为(84.12±11.63)、(20.13±3.12)次/min,双侧阻滞麻醉30 min后分别为(90.31±8.40)、(21.89±2.87)次/min,比较差异有统计学意义(P<0.05)。患者麻醉前动脉血二氧化碳分压和动脉血氧分压分别为(4.36±0.51)、(11.63±0.86)k Pa,双侧阻滞麻醉30 min后分别为(4.03±0.32)、(23.69±2.95)k Pa,比较差异有统计学意义(P<0.05)。结论使用0.25%左布比卡因配合护理用于双侧肌间沟臂丛阻滞麻醉治疗,能有效的配合医生对患者进行手术治疗,从而减少双上肢患者的手术时的痛苦,帮助患者顺利度过手术期。

Objective To study the effective nursing method of 0.25% levobupivacaine for bilateral interscalene brachial plexus block anesthesia. Methods A total of 60 double upper extremity surgery patients received 0.25% levobupivacaine and nursing cooperation for bilateral interscalene brachial plexus block anesthesia. Comparison were made on heart rate, respiratory rate, arterial blood oxygen partial pressure and arterial blood carbon dioxide partial pressure changes before anesthesia and 30 min of bilateral block anesthesia.Results Patients had heart rate and respiratory rate respectively as (84.12±11.63) and (20.13±3.12) times/min before anesthesia, and (90.31±8.40) and (21.89±2.87) times/min in 30 min of bilateral block anesthesia, and their difference had statistical significance (P<0.05). Patients had arterial blood carbon dioxide partial pressure and arterial blood oxygen partial pressure respectively as (4.36±0.51) and (11.63±0.86) kPa before anesthesia,and (4.03±0.32) and (23.69±2.95) kPa in 30 min of bilateral block anesthesia, and their difference had statistical significance (P<0.05). Conclusion For bilateral interscalene brachial plexus block, 0.25% levobupivacaine and nursing cooperation can effectively cooperate with doctors for surgical treatment in patients, thus reducing pain in patients with double upper extremity surgery, and helping patients through surgery period.