低浓度罗哌卡因颈丛麻醉在锁骨骨折手术中的应用

目的观察低浓度罗哌卡因颈丛麻醉在锁骨骨折手术中的应用.方法选颈丛阻滞麻醉,在c4横突处穿刺,给予0.25%罗哌卡因,分别在深丛7mL、浅丛15mL,共22mL注入.并与同样方法注入0.15%地卡因和1.00%利多卡因混合液22mL(加1200000肾上腺素)作比较.结果麻醉效果,观察组有效率95.6%,对照组有效率95.4%,二组无明显差异.副作用,观察组明显少于对照组,有显著差异(P＜0.05).结论低浓度罗哌卡因进行颈丛麻醉效果好,副作用轻,与其他方法相比,该方法较好.

The application of low-dose ropivacaine for cervical plexus anesthetic in the operation of collar-bone fracture

Objective To observe the application of low-dose ropivacaine for cervical plexus anesthetic in the operation of collarbone fracture. Method The cervical plexus were selected to block anesthetic and punctured at c4 transverse.7mL ropivicaine (0.25%) was given to deep plexus and 15mL to shallow plexus comparing with the same way by mixture solution of tetracaine (0.15%) and lidocaine (1.00%). Result The anesthetic effective rate of observation group and controlled group were 95.6% and 95.4% respectively and no significant difference between them.For the side effect, there had a significant difference between the two groups.The side effect of observation group was less than the controlled group.(P<0.05) Conclusion The anesthetic effect of low-dose ropivaciane was good and had little side effect.It is a good way for the cervical plexus anesthetic.