Curative Effect Observation of the Continuous Brachial Plexus Block is Used to Postoperative Analgesia After the Upper Limb Surgery

作者：Wang Qing-tao · 发表于：The Journal of Medical Theory and Practice · 年份：2012 · 研究领域：Anesthesia and Pain Management、Spine and Intervertebral Disc Pathology、Nerve Injury and Rehabilitation

Objective:To study the clinical effects and the skills summary of continuous perineural block analgesia(CPNA) through a perivasculer catheter after the upper limb surgery analgesia.Methods:Randomly divide the 38 patients into group CPNA and group PCSA(patient-controlled subcutaneous analgesia),who had received upper limb surgeries and the patient controlled analgesia from March 2011 to May in our anesthesia department.Patients in group CPNA were placed vein-indwelling needles at interscalene sulcus and received PCA at postoperation.Patients in group PCSA were received patient-controlled subcutaneous analgesia with sufentanil.Visual analogue scales rest(VASr),visual analogue scales move(VASm) and the adverse effects were observed at 4,12,24,48 hours after surgery.Results:VAS of group CPNA is far lower than group PCSA at the 4 time points after surgery,and the occurring frequency of adverse effects is lower as well.All differences have statistical significance(P0.05).Conclusion:CPNA after upper limb surgery is quite satisfactory with lower occurring frequency of untoward effect.So,it is adaptable to clinical application.