艾貝寧在術(shù)后鎮(zhèn)靜鎮(zhèn)痛中的應(yīng)用-(1)-文庫(kù)吧
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【正文】 arthroscopic knee surgery.“ Br J Anaesth 101(3): 395399.,8,第八頁(yè)，共二十五頁(yè)。,外周神經(jīng)(sh233。njīng)阻滯,DEX參加局部麻醉藥，用于臂叢神經(jīng)阻滯 延長(zhǎng)神經(jīng)阻滯時(shí)程，降低(ji224。ngdī)肩關(guān)節(jié)術(shù)后痛覺(jué)評(píng)分，提高病人滿意度；,Fritsch, G., T. Danninger, et al. (2014). “Dexmedetomidine added to ropivacaine extends the duration of interscalene brachial plexus blocks for elective shoulder surgery when compared with ropivacaine alone: a singlecenter, prospective, tripleblind, randomized controlled trial.“ Reg Anesth Pain Med 39(1): 3747.,Bengisun, Z. K., P. Ekmekci, et al. (2013). “The Effect of Adding Dexmedetomidine to Levobupivacaine for Interscalene Block for Postoperative Pain Management After Arthroscopic Shoulder Surgery.“ Clin J Pain.,9,第九頁(yè)，共二十五頁(yè)。,椎管內(nèi),Sadhasivam等比較單純嗎啡與Dex復(fù)合嗎啡用于脊柱手術(shù)術(shù)后椎管內(nèi)鎮(zhèn)痛的效果，結(jié)果表明復(fù)合使用Dex對(duì)嗎啡具有“節(jié)儉效應(yīng)”，并可增加其鎮(zhèn)痛作用，降低術(shù)后的惡心、嘔吐的發(fā)生率。,10,第十頁(yè)，共二十五頁(yè)。,椎管內(nèi),Vieira等的研究發(fā)現(xiàn)，對(duì)開(kāi)腹膽囊切除患者，硬膜外腔給予Dex 2ug／kg復(fù)合0.75％羅哌卡因20 ml，至術(shù)后6 h仍維持鎮(zhèn)痛效果。,Vieira AM1, Schnaider TB, Brand227。o AC, Pereira FA, Costa ED, Fonseca CE. [Epidural clonidine or dexmedetomidine for postcholecystectomy analgesia and sedation.]. Rev Bras Anestesiol. 2004 Aug。54(4):4738.,11,第十一頁(yè)，共二十五頁(yè)。,椎管內(nèi),來(lái)自上海十院的作者對(duì)于椎管內(nèi)應(yīng)用DEX進(jìn)行了薈萃分析(fēnxī)； 納入8個(gè)RCT,4
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