The observation on the effect of sufentanil combined with ropivacaine in interscalene brachial plexus block by ultrasound-mediated
10.3760/cma.j.issn.1008-6706.2013.04.009
- VernacularTitle:苏芬太尼复合罗哌卡因用于超声介导肌间沟臂丛神经阻滞的疗效观察
- Author:
Jinfen JI
;
Dong LI
- Publication Type:Journal Article
- Keywords:
Brachial plexus,nerve block;
Ultrasonics;
Sufentanil;
Ropivacaine
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(4):502-504
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clinical effect of sufentanil combined with ropivacaine in interscalene brachial plexus block by ultrasound-mediated.Methods 66 patients received the treatment of interscalene brachial plexus block were divided into group A,B and C randomly.Group A received traditional blind puncture interscalene brachial plexus block with ropivacaine;Group B received interscalene brachial plexus block with ropivacaine by ultrasound-mediated;Group C received interscalene brachial plexus block with combination of sufentanil and ropivacaine by ultrasound-mediated.The operation time,VAS score,pain and movement block onset time,anesthesia fine ratio and incidence of complications were observed and compared.Results The operation times of group B and C were significantly shortened compared with group A(all P ＜0.05) ;The pain and movement block onset time was shortened significantly in group B (all P ＜ 0.05),and more significantly in group C than those in group A (all P ＜ 0.05) ;The VAS score at 30min,60min and 120min after operation of brachial plexus block were significantly decreased in group C than those in group A and B (all P ＜ 0.05) ; Anesthesia fine ratio in group B and C significantly improved than that in group A (all P ＜ 0.05) ; Incidence of complications of group B and C was significantly lower than that in group A after operation of brachial plexus block (all P ＜ 0.05).Conclusion Sufentanil combined with ropivacaine in interscalene brachial plexus block by ultrasound-mediated has good effect and safety,and it can improve the onset time and effect of pain and movement block.
