The Clinical Effects Of Ropivacaine Compound Oxycodone Were Observed In The Clinical Effects Of Brachial Plexus

Objective: 0.5% Ropivacaine Hydrochloride Injection and a small amount of oxycodone hydrochloride injection is applied to the clinical effect of arm plexus block.Methods: Choose our hospital during 2016.06-2016.12 in the brotherhood of surgery should be line of upper extremity surgery,and the need for anesthesia of 160 patients with elective surgical procedures,The 160 people choose the age between 18 to 50 years old,no particular gender selection,anesthesia ASA I-II,The selected patients were randomly divided into two groups,respectively,for group A and group B.Patients with no obvious anomaly assessment into the operating room,line must be after monitoring,Under the guidance of ultrasound in the line of nerve block with lateral supraclavicular fossa,which included in A group of patients with 5 mg oxycodone hydrochloride injection of 0.5% Ropivacaine Hydrochloride Injection 20 ml ampoule,group B with 0.5% Ropivacaine Hydrochloride Injection only paid 20 ml ampoule,nerves,blood vessels,patients with injury of piercing process not injection after the completion of the visible completely surrounding the nerve bundle of brachial plexus anesthesia drugs.When the following will be kicked out patients with statistical scope: 1,drug injection process in patients with obvious symptoms of nerve stimulation;2,in the process of the injection drug anesthesia poisoning symptoms or there is a tendency of local anesthetic drug poisoning patients;3,nerve piercing drug withdrawal from the process of blood,regardless of the adjustment in order to prevent the success,eliminate interference factors,such as protein,the blood of these patients eliminate statistical scope;4,due to obesity,or excess Angle cannot safely and clear the anesthetic injection in patients with peripheral nerve;5,excessive anxiety,patients can't fully cooperate,After rule out will be more in the remaining patients.Record the puncture after 5 min,15 min,30 min the upper extremities wich accept anesthesia 100 Pa the pressure acting on The radial styloid process The patient's pain NRS score Patients suffering from side of the hand of 10 ? temperature sense of feeling?Accept the upper limbs muscle strength rating of anesthesia?Reaction(such as dizziness,itchy skin,etc.),and the patient vital signs.Statistical analysis:The software SPSS 19.0 was used in analyzing measurement data,which was expressed as mean±standard deviation.One-Way ANOVA analysis was used to compare the mean of multiple groups.Tukey test was used for multiple comparisions between groups.Counting data was compared with Chi-Square test.P < 0.05 was considered statistically significant.Results:Observing group A in 5 min pain NRS scores significantly lower in the B group(P < 0.05),15 min NRS scores significantly lower in the B group(P < 0.05),30 min when pain NRS scores have no significant difference;5 min temperature when feel obviously in group A than group B,15 min temperature feel obviously compared with group B,30 min when no obvious difference was found between group A and group B warmth feeling;5 min when muscle down significantly compared with group B,group A 15 min muscle down significantly compared with group B,group A 30 min group A and group B muscle are level 0,no statistical difference;Perioperative two groups of patients were not significant discomfort and side effect,no statistical difference;Group A vital signs in patients with A preoperative range is less than 20% compared with group B significantly decreased(P < 0.05).Conclusion: the current using ultrasonic guided nerve block,higher success rate of nerve block,block effect in the end no difference between the two groups of patients,but 5 mg of oxycodone hydrochloride injection and compound 0.5% Ropivacaine Hydrochloride Injection when applied to the brachial plexus block work faster,more stable mood,perioperative period in patients with patient comfort level is higher,is still a good way to clinical application.