Nghiên cứu tác dụng của gây tê đám rối thần kinh cánh tay giữa các cơ bậc thang dưới hướng dẫn của siêu âm bằng hỗn hợp bupivacain - dexamethason cho phẫu thuật chi trên=Research on the effects of interscalene brachial plexus anesthesia under the guidance of ultrasound with admixture of bupivacaine and dexamethasone for upper limb surgery

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Tác giả: Thành Phú An, Thị Thúy Hằng Bùi, Thị Là Đỗ, Văn Tỵ Kiều, Văn Thành Ngô, Thị Hằng Nguyễn, Thị Ngọc Hà Nguyễn, Việt Hà Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y dược lâm sàng 108, 2024

Mô tả vật lý: tr.128-133

Bộ sưu tập: Metadata

ID: 244951

Thêm vào giỏ

So sánh hiệu quả vô cảm của gây tê đám rối thần kinh cánh tay giữa các cơ bậc thang dưới hướng dẫn của siêu âm bằng hỗn hợp bupivacain - dexamethason với bupivacain cho phẫu thuật chi trên. Đối tượng và phương pháp: Nghiên cứu tiến cứu có so sánh, 60 bệnh nhân tuổi từ 16 đến 70, ASA I, II, chia ngẫu nhiên thành 2 nhóm, nhóm 1: 30 bệnh nhân sử dụng hỗn hợp bupivacain (1,5mg/kg) - dexamethason (8mg). Nhóm 2: 30 bệnh nhân sử dụng bupivacain (1,5mg/kg) được gây tê đám rối thần kinh cánh tay cho phẫu thuật chi trên tại Bệnh viện Trung ương Quân đội 108. Kết quả: Thời gian chờ ức chế cảm giác đau nhóm 1 (4,73 ± 0,98 phút) ngắn hơn nhóm 2 (10,10 ± 2,78 phút) với p<
0,05. Thời gian kéo dài ức chế cảm giác đau nhóm 1 (1049,77 ± 258,12 phút), dài hơn nhóm 2 (553,83 ± 228,06 phút) với p<
0,05. Thời gian chờ ức chế vận động nhóm 1 (8,03 ± 1,87 phút) ngắn hơn nhóm 2 (17,57 ± 5,54 phút) với p<
0,05. Thời gian kéo dài ức chế vận động nhóm 1 (1025,60 ± 258,86 phút) dài hơn nhóm 2 (470,97 ± 182,92 phút) với p<
0,05. Tần số tim, huyết áp, tần số thở, SpO2 ổn định và không có sự khác biệt giữa 2 nhóm với p>
0,05. Kết luận: Gây tê đám rối thần kinh cánh tay giữa các cơ bậc thang dưới hướng dẫn của siêu âm bằng hỗn hợp bupivacain - dexamethason là phương pháp rút ngắn thời gian chờ và kéo dài thời gian tác dụng ức chế cảm giác đau và vận động so với bupivacain đơn thuần.To compare the anesthetic effectiveness of interscalen brachial plexus anesthesia under the guidance of ultrasound using a mixture of bupivacaine - dexamethasone and bupivacaine for upper limb surgeries. Subject and method: Prospective comparative study, 60 patients aged 16 to 70, ASA I, II, randomly divided into 2 groups, group 1: 30 patients using a mixture of bupivacaine (1.5mg/kg) - dexamethasone (8mg). Group 2: 30 patients using bupivacaine (1.5mg/kg) received brachial plexus anesthesia for upper limb surgery at 108 Military Central Hospital. Result: The onset time of sensory block group 1 (4.73 ± 0.98 minutes) was shorter than group 2 (10.10 ± 2.78 minutes) with p<
0.05. The duration time of sensory block group 1 (1049.77 ± 258.12 minutes), was longer than group 2 (553.83 ± 228.06 minutes), with p<
0.05. The onset time of motor block group 1 (8.03 ± 1.87 minutes) was shorter than that of group 2 (17.57 ± 5.54 minutes) with p<
0.05. The duration time of motor block group 1 (1025.60 ± 258.86 minutes) was longer than group 2 (470.97 ± 182.92 minutes) with p<
0.05. Heart rate, blood pressure, breathing rate, SpO2 were stable and there was no difference between the 2 groups with p>
0.05. Conclusion: Anesthesia of the interscalene brachial plexus under the guidance of ultrasound with a mixture of bupivacaine - dexamethasone is a method of shortening the onset time and prolonging the duration time of sensory block and motor block compared to bupivacaine alone.

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