组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2013, Vol. 9 ›› Issue (6): 342-343.doi: 10.3969/j.issn.1673-0364.2013.06.012

• 论著 • 上一篇    下一篇

肌间沟神经阻滞联合阿片类镇痛药对术后镇痛的影响

陆军，杨军，沈燕   

  1. 松江区泗泾医院麻醉科
  • 发布日期:2020-07-23

Effect of Interscalene Nerve Block Adding Opioid Analgesics on Postoperative Analgesia

LU Jun,YANG Jun,SHEN Yan   

  1. Department of Anesthesia, Sijing Hospital of Songjiang District;
  • Published:2020-07-23

摘要： 目的观察肌间沟神经阻滞联合不同阿片类镇痛药,对患者术后镇痛效果的影响。方法对90例上肢骨折手术患者采用单次肌间沟麻醉,分别加入曲马多和芬太尼,根据患者术后的疼痛程度来评定镇痛效果。结果Ⅱ、Ⅲ组镇痛效果明显优于Ⅰ组(P<0.05)。结论肌间沟麻醉时加入阿片类镇痛药,其术后镇痛效果明显增强。

关键词: 肌间沟神经阻滞麻醉, 阿片类镇痛药, 术后镇痛

Abstract: Objective To investigate the effect of interscalene nerve block adding opioid analgesics on postoperative analgesia for upper extremity surgery. Methods Interscalene nerve block with tramadol or fentanyl added respectively was given to the patients for the anesthesia of upper extremity surgery. The analgesic effect was observed and evaluated after surgery. Results Analgesic effect in experimental groups adding opioid analgesics was better than in control group ( P<0.05). Conclusion Adding opioid analgesic drugs to interscalene nerve block can reach a better postoperative analgesia effect.

Key words: Interscalene nerve block, Opioid analgesics, Postoperative analgesia

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