Nghiên cứu gây tê đám rối thần kinh cánh tay đường gian cơ bậc thang bằng Lidocain phối hợp với Dexamethason trong phẫu thuật chi trên

het khlp cac huy§n mien nui xa x6i de kjp th&i phuc

vu cho c ip cuu tai nan thuang tich gi6ng nhu nhung

d i xu lt cua Ngo Manh Quan, Nguyen Anh Tri v i

nhieu tac gia trong va ngoai nu&c [1], [3], [6], [10].

k £t lu a n

Trufic nam 2010, Nghfi An v in con tinh trang ban

mau chuyfin nghiep, nhung tu khi thanh lap Trung

tam Huyet hpc- Truyen mau Tinh Nghfi An thi cfing

tec thu gom mau tinh nguyen tai Trung tam tu nam

2010 - 2013 c6 nhung bu&c phat trien dang ki,

luang mau tinh nguyen Trung t^m thu gom nam 2013

tSng g ip 2,65 lin nam 2010, va khfing cfin tinh trang

ban mau chuyen nghiep trfin dja ban.

Trufic nam 2010, phong trao hien mau cua nhan

dan tinh Nghe An chua sau rfing, h lu het cac huyen

da to chuc duac hien mau tinh nguyen v&i ty le tang

g ip 7,3 lin so v&i n3m 2010. Dac biet, cac huyen

vung mien nui cao da to chuc duac phong trao hien

mau tinh nguyen tu nam 2012.

NhOng tru&ng Dai hoc, Cao ding, Trung c ip da

thanh lap duac cau lac bfi hien mau tinh nguyfin thi

phong trao hiin mau ben vung va 6n dinh nguon mau

cung c ip han nhung tru&ng chua thanh lap duac

cau lac bfi.

TAI LIEU THAM KHAO

1. Tran Van Be va CS (1996) Khao sat nguon cho

mau tinh nguyen tgi TP Ho Chi Minh. Tap chi Y hoc Viet

Nam so 5/1996, trang 31 - 34.

2. Tran Thj Chi (2008). Tinh hinh hien mau tinh

nguyen tai Khanh H6a trong 11 nSm (1997 - 2007) Tap

chi Y hpc Viet Nam s6 2/ 2008, trang 542 - 547

3. Truong Thj Kim Dung (2008) Tinh hinh thu nh$n

va cung cap mau tgi BV Truyen mau Huy£t hoc TP Hfi

Chi Minh Tap chi Y hpc Vipt Nam sfi 2/2008. trang 579

-584

4. Nguyen Van Nhu, Ngo Mpnh quan. Nguyln Anh

Tri(2012), Khoa huyet hpc - tuyln mau cac b$nh vi$n

Tinh/ Thanh ph6 v&i cong tac xay dung va duy tri ngufin

ngu&i hien mau tpi dja phuong, Mfit so chuyen de huyit

hpc - truyen mau- Bp Y Te, 32-39.

5. 06 Trung Phln (1995). Cung cap mau va an toan

truyen mau la hai nhipm vy khan cip hipn nay. Tap chi

so 9/1995, trang 167- 170.

6. Ngo Manh quan, Nguyin Anh Tri, Nguyen Due

Thupn (2011), xay dung luc Impng hien mau du bj thuc

chat, hieu qua va ben vOng, Tap chi y hoc. 11/2011, Ha

Npi.

7. Ngo Manh quan, Chu Nhpt Hop, Nguyen Due

Thuan, Nguyen Anh Tri (2012), tinh nguyen vi§n v&i

djch vy truyen mau, Mpt sfi chuyen de huyet hpc - truyen

mau- Bp Y Te, 40- 47.

8 Tran Ngpc Que, Bui Thi Mai An, Nguyln Anh Tri

(2012), Lich su phat trien va nhung van de cua truyen

mau ngay nay, Mpt so chuyen de huyit hpc - truyen

mau- Bp Y Te, 48-63.

9. World Health Organization, internationnal

Federation of red Cross and Red Crescent Sociaties

(2010), Towards 100% Voluntery Blood Donation, A

Global For Action.

NGHIEN CliU GAY TE DAM R0I THAN KINH CANH TAY OWING GIAN CO BAC THANG

bAng lidocain phoi hop vin dexamethason tro n g phAu th u a t CHI TRlN

t 6 m t A t

Qua nghien c&u gUy te d£m mi than kinh canh tay

(DRTKCT) du&ng gian co bac thang trong phau thuat

chi tr§n & 80 benh nhan duxyc chia lam 2 nhom: nhdm

1 (n-40): gay te DRTKCT bing hon hop lidocain

7mg/kg v&i dexamethason 4mg va nhdm 2 (n=40):

gay te DRTKCT bing hdn hop lidocain 7mg/kg v&i

150/jg adrenalin; chung t6i nhan thay: gay te DRTKCT

du&ng gian co bac thang & nhdm 1 dat ket qua vo

cam va giam dau sau phiu thuat tot hon nhdm 2.

Th&i gian tiSm ting & nhdm 1 (8,30 ± 1,28 phut) ngin hon

so v&i nhdm 2 (13,45 ± 2,06 phut) (p < 0,05). Th&i gian

vo cam va giam dau sau phiu thuit & nhdm 1 (174,87

± 11,06 phut) dai hon so v&i nhdm 2 (87,75 ± 17,13

phut) (p<0,05). T ic dung khdng mong muon chi g ip

hoi chung Claude Bernard Homer 5% & nhdm 1 v i

2,5% & nhdm 2 (p>0,05)

Tip khda: G iy te dim roi than kinh cinh tay,

dexamethason.

PHAM VAN QUYNH, TRjNH XUAN TRUONG

Vien q u in y 354

HOANG VAN CHUONG, NGUYEN NGOC THACH

Vien q u in y 103

SUMMARY

STUDYING INTERSCALEN BRACHIAL PLEXUS

ANESTHESIA WITH ADMIXTURE OF LIDOCAINE AND

DEXAMETHASONE IN UPPER LIMB SURGERIES

Through studying interscalen brachial plexus

anesthesia in upper limb surgies in 80 patients

divided into two groups: the first group (n=40):

brachial plexus anesthesia with admixture of hdocaine

7mg/kg and dexamethasone 4mg and the second

group (n=40): brachial plexus anesthesia with

admixture of Iidocaine 7mg/kg and adrenaline 150pg,

we found: interscalen brachial plexus anesthesia in

the first group had better results of anesthesia and

postoperative analgesia than in the second group.

Onset of the first group (8.30 ± 1.28 min) was shorter

than the second group (13.45 ± 206 min) (p<0,05).

Duration of anesthesia and postoperative analgesia

of the first group (174.87 ± 11.06 min) was longer than

the second group (87.75 ± 17.13 min) (p<0,05).

6 Y HOC THUC HANH (905) - SO 2/2014