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目的:观察0.25%[1]罗哌卡因臂丛阻滞复合丙泊酚静脉注射用于小儿上肢手术麻醉的临床效果。方法:选择小儿上肢手术患者45例,以0.25%罗哌卡因用于小儿臂丛阻滞麻醉复合丙泊酚静脉注射。结果:术中心率和呼吸较接近麻醉前基础值,生命体征平稳,安静,无痛,术后清醒完全,无恶心呕吐的发生。结论:0.25%罗哌卡因复合丙泊酚静脉注射用于小儿臂丛神经阻滞是一种操作简单,镇痛完善,对循环功能影响小,生命体征平稳的一种麻醉方法。
Objective: To observe the clinical effect of 0.25% [1] ropivacaine combined with propofol and brachial plexus block in pediatric upper limb anesthesia. Methods: Forty-five children with upper limb surgery were enrolled in this study. 0.25% ropivacaine was used for intravenous injection of propofol in children with brachial plexus block. Results: Intraoperative heart rate and respiration were close to the values before anesthesia. The vital signs were stable, quiet and painless. The postoperative soberness was complete without nausea and vomiting. Conclusion: Intravenous injection of 0.25% ropivacaine combined with propofol for pediatric brachial plexus block is an anesthetic method with simple operation, perfect analgesia, little effect on circulatory function and stable vital signs.