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阻滞

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Anesthesis was performed by interscalene brachial plexus block.the onset and duration of analgesia,the level of block as well as adverse effects were recorded.hr and map were measured before anesthesia,5,10,30 and 60 minates after anesthesia.results:the onset time of block was significantly shorter and shivering was significantly lower in groups two and three as compared with group one.there was significant difference in the duration of anesthesia between group two and group three.

肌间沟法行臂丛神经阻滞,观察阻滞起效时间及持续时间、神经阻滞节断数、术中镇痛质量、不良反应以及注药前、注药后5、10、30、60分时心率和平均动脉压。结果:二、三组麻醉起效时间短于一组(p<0.05);麻醉持续时间二、三组长于一组但差异无显著性;二、三组组间比较差异有显著性;各组阻滞节断数、术中牵涉痛发生率、hr及map差异无显著性;一组寒战发生率高于二、三组(p<0.05)。

Group one received 0.375% bupivacaine;Group two 2.5% chloroprocaine;Group three in which 1:200 000 adrenaline was added to 2.5% chloroprocaine. Anesthesis was performed by interscalene brachial plexus block.The onset and duration of analgesia,the level of block as well as adverse effects were recorded.

肌间沟法行臂丛神经阻滞,观察阻滞起效时间及持续时间、神经阻滞节断数、术中镇痛质量、不良反应以及注药前、注药后5、10、30、60分时心率和平均动脉压。

The iris radius of 60 (93 eye) patients with early pupillary block primary angle closure glaucoma was measured with this method, it showed:(1) there was a statistically significant difference in iris radius between the patients with early stage primary pupillary block angle closure glaucoma and the normal subjucts (53 cases 106 eye) with the age matched group (P.01),(2) it is proved with the stepwise discriminatory analysis that the iris radius-the most significant bio-anatomic parameter of the anterior segment is usefull to diagnose early primary pupillary block angle closure glaucoma by stepwise discriminatory analysis.

本研究用此测量法测量了60例93只眼早期原发性瞳孔阻滞性闭角型青光眼的虹膜曲率半径,发现:(1)早期原发性瞳孔阻滞性闭角型青光眼患者的虹膜曲率半径小于同年龄正常人(53例106眼)的虹膜曲率半径,其差异具有显著性统计学意义(P.01);(2)经多因素逐步判别分析证明本研究所提出的活体眼前节解剖学测量参数——虹膜曲率半径有助于原发性瞳孔阻滞性闭角型青光眼早期诊断。

Objective To observe the clinical effect on the artificial abortion when Ropivacaine is employed in caudal block.Methods Ropivacaine with different densities is used for obervations on the patient's life sign,pains,movement block,cervix flaccidity and the period of time of the patient's being away from the hospital.

目的 观察罗比卡因在人工流产术中骶管阻滞的临床效果方法用不同浓度的罗比卡因在门诊人流术中行骶管阻滞以观察其对流产者的生命体征、疼痛程度、运动阻滞、宫颈松弛度及离院时间的影响。

Twenty-five percent of Shen Feng Jing started its retardance on Indian bullfrog's nerve conduction in 4 min after giving medicine while only 2 min for 50%( P .05), and the retardative effect strengthened with the time.

25% 的神蜂精溶液在给药后4m in 对蛙坐骨神经动作电位的传导开始有明显的阻滞作用(P< 0.05); 50%以上神蜂精溶液在2m in 内就开始有显著阻滞作用(P< 0.05),并随给药时间推移,阻滞作用不断加强,表现出明显的时程效应。

Full-term pregnancy of primipara 120 cases of illness; Stochastic double divides into three groups: research of group-A group and B group. control group of C group, A group (n=40), 0.75% levobupivacaine 10mg for CSEA, B group (n=40), 3% chloroprocaine the hard membrane pericoel hinders, C group: 0.75% bupivacaine for under the arachnoidea the cavity hinders the anaesthesia, In surgery process, to A and B groups, 2% lidocaine were intermittently injected respective-ly by epidural cathete, effec not enough of anesthesia.

足月初产妇120例随机双盲分成三组:研究组为A组和B组,对照组为c组。A组(n=40)蛛网膜下腔阻滞麻醉用药为0.75%左旋布比卡因10mg,使用腰麻硬膜外联合阻滞行剖宫产术,B组(n=40)以3%氯普鲁卡因为硬膜外麻醉的局麻药,使用硬膜外麻醉阻滞行剖宫产术,c组(n=40)腰麻用药为0.75%布比卡因10mg,使用腰麻硬膜外联合阻滞行剖宫产术。

The reasons for false-positive facet blocks are multifactorial and include placebo response (18–32%) to diagnostic facet interventions, use of sedation, the liberal use of superficial LA, and the spread of injectate to paingenerating structures other than those targeted.166 Although some investigators have disputed this assertion,167,168 it is our belief that not only opioids, but sedatives such as midazolam, can lead to false-positive blocks by interfering with the interpretation of analgesic response (i.e., preventing a patient from engaging in normal activities) and virtue of their muscle relaxant properties.169 In a recent survey conducted in 500 patients receiving facet blocks or epidurals at an outpatient spine center, only 17% requested sedation.170

小关节阻滞性诊断的假阳性结果的原因是多种多样的,包括安慰剂反应(18–32%),如利用镇静剂,浅表大量应用LA以及注射液外渗到目标外的其他疼痛发生阻滞。虽然有些学者对这种论断持怀疑态度,但是我们认为不论类罂粟碱,咪达唑仑等镇静剂,都可因具有麻醉反应(如可阻止患者从事正常活动)及肌松特点而导致假阳性率。在最近一项500人的研究中,这些门诊患者接受了小关节阻滞或硬膜外阻滞,只有17%患者需要镇静剂。

Is different according to the condition,the LDH nerve hinders the treatment to include:The intervertebral hole nerve root hinders,the sacral canal to hinder and outside the sacral canal large dose drop note therapy,the hard membrane and the leaving alone drive pipe hinders,the partial pain spot continuously hinders,the side recessus to hinder,in the intervertebral disc to hinder.

根据病情不同,LDH的神经阻滞治疗有:椎间孔神经根阻滞、骶管阻滞及骶管大剂量滴注疗法、硬膜外及留置导管连续阻滞、局部痛点阻滞、侧隐窝阻滞、椎间盘内阻滞

Addition of 100 gL^(-1) glucose to ropivacaine in spinal anaesthesia can shorten the onsets and durations of sensory and motor block and increase the degree of sensory and motor block.

罗哌卡因蛛网膜下腔阻滞时,加入100 gL^(-1)葡萄糖可明显缩短感觉、运动阻滞的起效时间和持续时间,增加感觉阻滞的平面及运动阻滞的程度。

Addition of 100 g.L-1 glucose to ropivacaine in spinal anaesthesia can shorten the onsets and durations of sensory and motor block and increase the degree of sensory and motor block.

罗哌卡因蛛网膜下腔阻滞时,加入100 g·L-1葡萄糖可明显缩短感觉、运动阻滞的起效时间和持续时间,增加感觉阻滞的平面及运动阻滞的程度。

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