| 罗哌卡因复合舒芬太尼在连续臂丛神经阻滞术后镇痛中的应用 |
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| 引用本文： | 余斌,张晓庆,孙佩莉,钱萍,王锦玲,李中.罗哌卡因复合舒芬太尼在连续臂丛神经阻滞术后镇痛中的应用[J].临床麻醉学杂志,2009,25(2). |
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| 作者姓名： | 余斌 张晓庆 孙佩莉 钱萍 王锦玲 李中 |
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| 作者单位： | 同济大学附属同济医院麻醉科,上海市,200065;同济大学附属同济医院麻醉科,上海市,200065;同济大学附属同济医院麻醉科,上海市,200065;同济大学附属同济医院麻醉科,上海市,200065;同济大学附属同济医院麻醉科,上海市,200065;同济大学附属同济医院麻醉科,上海市,200065 |
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| 摘 要： | 目的 观察罗哌卡因复合舒芬太尼在连续臂从神经阻滞术后镇痛效果及不良反应.方法 上肢手术患者80例,采用套管针行改良肌间沟法连续臂从神经阻滞,并保留套管针术后接患者自控镇痛泵.将患者随机均分成两组:s组为50 μg舒芬太尼加0.225%罗哌卡因镇痛;R组为术毕仪用0.225%罗哌卡因镇痛.两组背景剂最均为4 ml/h,自控药量每次3 ml,锁定时间20 min.观察术后镇痛效果,记录镇痛泵使用情况及不良反应.结果 S组在术后4、8及16 h镇痛效果优于R组(P＜0.05);恶心、呕吐、嗜睡、皮肤瘙痒及呼吸抑制两组差异无统计学意义.结论 罗哌卡因复合舒芬太尼用于连续臂丛神经阻滞术后镇痛效果优于单用罗哌卡因.
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| 关 键 词： | 罗哌卡因 舒芬太尼 臂丛神经阻滞 术后镇痛 |
Application of ropivacaine plus sufentanil in postoperative patient-controlled analgesia after interscalene brachial plexus block |
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| YU Bin,ZHANG Xiao-qing,SUN Pei-li,et al..Application of ropivacaine plus sufentanil in postoperative patient-controlled analgesia after interscalene brachial plexus block[J].The Journal of Clinical Anesthesiology,2009,25(2). |
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| Authors: | YU Bin ZHANG Xiao-qing SUN Pei-li |
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| Affiliation: | YU Bin,ZHANG Xiao-qing,SUN Pei-li,et al. Department of Anesthesiology,Affiliated Tongji Hospital,Tongji University,Shanghai 200065,China |
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| Abstract: | Objective To observe the analgesia and side effects of ropivacaine combined with sufentanil for postoperative patient-controlled analgesia(PCA) after continuous interscalene brachial plexus block(BPB).Methods Eighty patients undergoing upper extremity surgery under modified interscalene BPB were randomly divided into two groups with 40 cases each.The patients in group S were given postoperative PCA with 0.225% ropivacaine plus 0.05% sufentanil and those in group R with 0.225% ropivacaine alone in a basal do... |
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| Keywords: | Ropivacaine Sufentanil Brachial plexus block Postoperative analgesia |
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