本文選題：超聲 + 地佐辛　； 參考：《中國(guó)地方病防治雜志》2017年06期

【摘要】：目的目的:探究在超聲引導(dǎo)下地佐辛復(fù)合地塞米松對(duì)腋路臂叢神經(jīng)阻滯在兒童急診手外傷手術(shù)中運(yùn)用效果,為臨床提供有效依據(jù)。方法選擇2014年2月至2015年10月在我院門診急診就診的擬行手部外傷手術(shù)的兒童112例,按隨機(jī)數(shù)表法將112例患者分為超聲引導(dǎo)下地佐辛復(fù)合地塞米松經(jīng)腋路臂叢神經(jīng)阻滯麻醉組(觀察組)和傳統(tǒng)的腋路臂叢神經(jīng)阻滯麻醉組(對(duì)照組),每組各56例,對(duì)其進(jìn)行比較分析。結(jié)果兩組患者在注入麻藥后在5min、10min、15min后觀察組橈神經(jīng)的阻滯有效率要明顯優(yōu)于對(duì)照組,在注入麻醉藥物10min、15min后觀察組尺神經(jīng)和正中神經(jīng)的阻滯有效率也要明顯優(yōu)于對(duì)照組(P0.05);觀察組患者在麻醉起效時(shí)間、阻滯完全時(shí)間上均要明顯短于對(duì)照組(P0.05),在麻醉持續(xù)時(shí)間上觀察組要明顯長(zhǎng)于對(duì)照組(P0.05)。術(shù)后兩組患者在6h、12h、18h、24h、48h VAS評(píng)分上,觀察組要明顯低于對(duì)照組(P0.05)。結(jié)論在兒童上肢手術(shù)中利用超聲引導(dǎo)下地佐辛復(fù)合地塞米松經(jīng)腋路臂叢神經(jīng)阻滯麻醉操作方便,成功率高,能夠增強(qiáng)腋路臂叢神經(jīng)阻滯的效果,且術(shù)后并發(fā)不良反應(yīng)少,值得推廣應(yīng)用。
[Abstract]:Objective: to explore the effect of Dizosin combined with dexamethasone on axillary brachial plexus block in emergency operation for hand trauma in children. Methods 112 children undergoing hand trauma surgery from February 2014 to October 2015 were selected. According to the random number method, 112 patients were divided into two groups, 56 patients in each group were treated with conventional axillary brachial plexus block anesthesia (observation group) and conventional axillary brachial plexus block anesthesia (control group). It is compared and analyzed. Results the effective rate of radial nerve block in the observation group was significantly better than that in the control group at 5 min, 10 min and 15 min after the injection of anesthetic. The effective rate of ulnar nerve and median nerve block in the observation group was significantly better than that in the control group after 10 minutes and 15 minutes after the injection of the anesthetic (P0.05). The complete time of block was significantly shorter than that of control group (P0.05), and the duration of anesthesia in observation group was significantly longer than that in control group (P0.05). The VAS scores in the observation group were significantly lower than those in the control group (P0.05). Conclusion Dizosin combined with dexamethasone under the guidance of ultrasound in children upper limb operation is easy to operate and has a high success rate. It can enhance the effect of axillary brachial plexus block and has fewer adverse reactions after operation. It is worth popularizing and applying.
【作者單位】： 承德醫(yī)學(xué)院附屬醫(yī)院;
【基金】：承德市科學(xué)技術(shù)研究與發(fā)展計(jì)劃項(xiàng)目(201601A038)
【分類號(hào)】：R726.1

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