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| To Investigate the Value of Esketamine in the Postoperative Rehabilitation of Shoulder Arthroscopy in Ultrasound-guided Selective Cervical Nerve Root Block |
| Shang Chenglei |
| Department of Anesthesiology,Caizhou Hospital,Shangcai 463800,Henan,China |
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Abstract Objective To explore the value of esmketamine in ultrasound-guided selective cervical nerve root block for rehabilitation after shoulder arthroscopy.Methods 80 patients who underwent shoulder arthroscopic surgery were selected as the research objects.They were randomly divided into control group（n=40）and observation group（n=40）.Both groups underwent selective cervical nerve root block under ultrasound guidance.The control group was given normal saline intravenous infusion before block,and the observation group was given esmketamine intravenous infusion before block.3h,6h,12h Visual analogue pain（VAS）score and motor nerve block（MBS）score at 24 hours,and hemodynamic changes before operation,5 minutes after operation,15 minutes after operation and 30 minutes after extubation.Results The VAS score of the observation group was significantly lower than that of the control group at 6h and 12h after operation（P<0.05）,the MBS score of the observation group was significantly higher than that of the control group at 3H and 6h after operation（P<0.05）,and the map and HR levels of the observation group were significantly lower than those of the control group at 5 min,15 min and 30 min after extubation（P<0.05）.Conclusion The effect of selective cervical nerve root block with esmketamine under ultrasound guidance is accurate,which can effectively maintain the stability of intraoperative hemodynamics,have good postoperative analgesic effect,and quickly restore the motor function of forearm.
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Received: 05 July 2022
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2023, Vol. 43 
