超声引导下布比卡因单用或联合硫酸镁阻滞腘窝坐骨神经用于糖尿病足手术

Rehab Abd El-Raof Abd El-Aziz, A. Morsy, Mervat Abdelmaksoud, Mariam Abdelhamid
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引用次数: 1

摘要

本前瞻性研究探讨了在布比卡因中加入硫酸镁对糖尿病足手术中腘窝坐骨神经阻滞的影响。患者与方法将患者分为两组,B组患者给予0.25%布比卡因28 ml +生理盐水2 ml, BM组患者给予0.25%布比卡因28 ml + 10%硫酸镁2 ml。主要终点为术后镇痛持续时间评估。次要目的是评估感觉和运动阻滞的发生、持续时间和术后镇痛需求的评估。结果B组镇痛时间450 ~ 690 min,平均为585.90±78.96 min; BM组镇痛时间720 ~ 1080 min,平均为870.0±100.6 min。BM组镇痛持续时间延长明显高于B组。结论在布比卡因中加入硫酸镁可延长术后镇痛时间,降低镇痛需求,无明显并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ultrasound-guided popliteal sciatic nerve block using bupivacaine alone or combined with magnesium sulfate for diabetic foot surgeries
Background This prospective study examined the influence of adding magnesium sulfate to bupivacaine in popliteal sciatic nerve block in diabetic foot surgeries. Patients and methods Patients were divided into two equal groups: patients in B group received 28 ml of 0.25% bupivacaine plus 2-ml normal saline, and patients in BM group received 28 ml of 0.25% bupivacaine plus 2-ml magnesium sulfate 10%. The primary end point was postoperative analgesic duration assessment. Secondary aims were to assess the sensory and motor block regarding the onset and the duration and assessment of analgesic requirements postoperatively. Results In B group, the range of analgesic duration was between 450 and 690 min, with a mean of 585.90±78.96 min, whereas in BM group, it ranged from 720 to 1080 min, with a mean of 870.0±100.6 min. A statistically significant higher prolongation in the duration of analgesia was found in the BM group than the B group. Conclusions Magnesium sulfate when added to bupivacaine produced prolongation of analgesic duration postoperatively with decreased analgesic requirements without significant complications.
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