| 咪哒唑仑复合瑞芬太尼辅助臂丛神经阻滞的临床观察 |
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| 引用本文： | 张成敏. 咪哒唑仑复合瑞芬太尼辅助臂丛神经阻滞的临床观察[J]. 现代预防医学, 2011, 38(19): 4098-4099,4102 |
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| 作者姓名： | 张成敏 |
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| 作者单位： | 河南省原阳县人民医院麻醉科,新乡,453500 |
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| 摘 要： | [目的]探讨咪哒唑仑复合瑞芬太尼辅助臂丛神经阻滞的临床效果。[方法]选择2009年3月～2010年6月期间行臂丛神经阻滞的患者86例,随机将患者分为研究组和对照组,每组43例。两组患者待麻醉效果确定后,对照组患者如发现镇痛不完善,可给予芬太尼辅助镇痛或局麻药封闭阻滞,而研究组患者则给予咪哒唑仑和瑞芬太尼的复合治疗,并对两组患者的临床治疗效果等相关评价指标进行比较分析。[结果]与对照组患者相比,研究组患者在麻醉中的5、10、30min其MAP降低且HR减慢,差别均具有统计学意义(P﹤0.05),但都仍然处于正常范围内。研究组患者在麻醉中的5、10、30min的镇静和疼痛情况均显著改善,差别均具有统计学意义(P﹤0.05)。研究组患者的术后1h随访完全无记忆的比率显著提高,而记忆清楚的比率则显著降低,差别均具有统计学意义(P﹤0.05)。[结论]咪哒唑仑复合瑞芬太尼辅助臂丛神经阻滞,其疗效确切,效果显著,对于提高臂丛神经阻滞质量具有十分重要的临床意义。
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| 关 键 词： | 咪哒唑仑 瑞芬太尼 臂丛神经阻滞 |
OBSERVATION OF THE CLINICAL EFFECT OF MIDAZOLAM COMBINED WITH REMIFENTANIL IN ASSISTING BRACHIAL PLEXUS BLOCK |
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| ZHANG Cheng-min. OBSERVATION OF THE CLINICAL EFFECT OF MIDAZOLAM COMBINED WITH REMIFENTANIL IN ASSISTING BRACHIAL PLEXUS BLOCK[J]. Modern Preventive Medicine, 2011, 38(19): 4098-4099,4102 |
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| Authors: | ZHANG Cheng-min |
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| Affiliation: | ZHANG Cheng-min.(Department of Anesthesiology,Yuanyang County People's Hospital in Henan Province,Yuanyang,453500 China) |
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| Abstract: | [Objective]To probe into the clinical effect of midazolam combined with remifentanil to assist brachial plexus block.[Methods]Selected 86 cases of brachial plexus block from March 2009-June 2010 in our hospital,patients were randomly divided into study group and control group,43 cases in each group.Anesthetic effect of the two groups were defined,the patients of study group were given compound treatment with midazolam and remifentanil.And two groups of clinical evaluation and other related treatment were co... |
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| Keywords: | Midazolam Remifentanil Brachial plexus block |
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