犬臂丛神经阻滞术中局麻药的比较特点

M. O. Voronova, Y. Vatnikov
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摘要

本研究的目的是比较三种不同的局麻药的持续时间和阻滞发展的有效性,臂丛阻滞用于犬桡骨钢板内固定。B. Brown对所有阻断组给予神经电刺激引导的具有SENSe功能的刺激剂HNS 12。选取最小犬种15只,随机分为3组:第一组采用2%利多卡因溶液麻醉;第二组布比卡因0.5%,第三组罗比卡因0.5%。利用夹点法对几个地区的局部区块开发时间和持续时间进行了评估。第1组出现完全肢体阻滞的速度最快,平均需要7-10分钟。第2组出现完全阻滞的次数超过3次,第3组出现完全阻滞的次数超过2次。1组患者术后立即注射镇痛药,缓解术后疼痛。第三组阻滞时间明显短于第二组,但运动阻滞时间明显长于第三组,患者虽有疼痛感,但远端肢体运动功能尚未恢复。因此,罗哌卡因根据其性质,是犬前肢骨膜成骨术臂丛阻滞的首选药物,可用于超过80分钟的手术。
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Comparative characteristics of local anesthetics in brachial plexus block for surgery in dogs
The objective of this study was to compare three different local anesthetics in terms of duration and effectiveness of block development in brachial plexus block for osteosynthesis of radius with plate in dogs. The blockade was received a electroneurostimulation-guided Stimuplex HNS 12 with SENSe function by B. Brown for all group. 15 dogs of smallest breeds were divided into three random groups: in the first, 2% lidocaine solution was used as anesthesia; in the second bupivacaine 0.5%, in the third ropivacaine 0.5%. The time to development and the duration of the local block were assessed with a pinch method in several areas. The fastest development of a complete limb block was observed in group 1, which took an average of 7-10 minutes. The development of a complete block in the 2nd group exceeded three times, and in the 3rd - twice, the anesthetic indicators of the 1st group. All patients from group 1 were immediately injected with analgesics after surgery to relieve postoperative pain. The duration of the blockade of the third group was significantly shorter than in the second group, however, the motor block in the second group was significantly longer than in the 3rd group, patients experienced pain, but the motor function of the distal limb has not yet recovered. Thus, ropivacaine, by its properties, is the drug of choice for brachial plexus blockade for periosteal osteosynthesis of the forelimb in dogs and can be used for surgeries longer than 80 minutes.
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