患儿臂丛神经阻滞麻醉中应用罗哌卡因的效果观察

目的探讨罗哌卡因用于小儿上肢手术臂丛神经阻滞麻醉时的有效护理方法。方法选择上肢手术患儿30例,在氯胺酮基础麻醉下随机分为罗哌卡因臂丛神经阻滞麻醉组(A组15例)和氯胺酮静脉麻醉组(B组15例)。根据围麻醉期有可能出现的护理问题制订出一套完整的护理措施,比较2组患儿感觉及运动阻滞效果、生命体征变化以及苏醒状况。结果A组患儿术中血压、心率和呼吸较接近麻醉前基础值,且术中波动较小,生命体征平稳。B组血压、心率及呼吸均较术前明显增加,且始终保持在较高水平,随麻醉深浅而有显著波动,护理难度大。结论低浓度罗哌卡因用于小儿臂丛神经阻滞时的护理要点是根据围麻醉期可能出现的护理问题制订出一套完整的护理措施,配合麻醉医师做好各项工作,注意观察麻醉恢复时间和相关并发症的发生。

Clinical effects about brachial plexus block for children by ropivacaine

Objective In order to know the nursing points about brachial plexus block for children by ropivacaine. Methods Divided 30 children with operation into group A and B randomly, there were 15 cases in each group. Brachial plexus block by ropivacaine was used in the Group A, while ketamine was used in the Group B. Systemic nursing measures was used according to the concreted conditions about the children. Compared anaesthesia related conditions between the two groups. Results The anaesthesia related indexes in the Group B changed significantly, the counter nursing cares were complicated, while the indexes did not chang much in Group A. Conclusion The nursing points of brachial plexus block for children by ropivacaine are carrying out systemic nursing cares according to children's concreted conditions. Proper anaesthetic matching and careful observation for anaesthesia related complications are also important.