右美托咪定镇静联合肩胛上神经和腋神经阻滞对肩关节镜手术的麻醉效果

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Abstract Objective To investigate the effects of dexmedetomidine combined with suprascapular and axillary nerve block in shoulder arthroscopy surgery. Methods The clinical data of 122 patients who received shoulder arthroscopy from January 2021 to January 2023 in Beijing Municipal Corps Hospital of Chinese People’s Armed Police Force were retrospectively analyzed, and the patients were divided into the dexmedetomidine group (n=61) and the general anesthesia group (n=61) according to their different anesthesia methods and the principle of age difference of 1 year and gender parity. The general information, intraoperative hemodynamics, cerebral oxygen saturation, postoperative pain score, and complications between the two groups were compared. Results The anesthesia duration (113.41±17.45 min) and anesthesia recovery room monitoring time (23.12±6.27 min) of the dexmedetomidine group (29.17±6.49 min and 29.17±6.49 min) were shorter than those of the general anesthesia group (P<0.05). From 20 minutes after anesthesia to the end of the operation, the cerebral oxygen saturation in the dexmedetomidine group was higher than that in the general anesthesia group (P<0.05). The mean arterial pressure in the dexmedetomidine group was higher than that in the general anesthesia group from 10 min after anesthesia (P<0.05). At 12 h after surgery, the VAS scores of the dexmedetomidine group (2.50±0.41) were lower than that in the general anesthesia group (3.16±0.71) (P<0.05). Compared with the general anesthesia group, the dexmedetomidine group had a lower proportion of patients with vasopressor drugs (6.56% vs. 49.18%), hypoxemia (6.56% vs. 49.18%), assisted breathing (9.84% vs. 34.43%), and a lower incidence of postoperative nausea and vomiting (32.79% vs. 68.85%) (P<0.05). Conclusions Dexmedetomidine combined with suprascapular and axillary nerve block has better anesthetic and analgesic effects in shoulder arthroscopy surgery, and has good hemodynamic stability and high safety.

Key words： shoulder arthroscopy nerve block dexmedetomidine suprascapular nerve axillary nerve

Received: 21 April 2023

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	Articles by authors
	ZHANG Shufeng
	ZHANG Xumei
	YUAN Li
	HUANG Chuanyu
	JI Mingming
	LIU Jingjing

Cite this article:

ZHANG Shufeng,ZHANG Xumei,YUAN Li等. Anaesthetic effects of dexmedetomidine combined with suprascapular and axillary nerve block anesthesia in shoulder arthroscopy surgery[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(11): 935-938.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2023/V34/I11/935

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