摘要
目的:观察超声引导下肌间沟入路臂丛阻滞在上肢手术中的应用。方法选择择期行上肢手术的患者30例,随机分为超声引导臂丛神经阻滞组(B组)和盲穿异感臂丛神经阻滞组组(C组),每组15例。 B组患者在超声引导下行肌间沟入路臂丛神经阻滞麻醉,C组患者采用传统盲穿异感法臂丛神经阻滞麻醉。比较两组患者一般情况、阻滞操作时间、阻滞成功率、感觉神经阻滞起效时间、并发症及患者满意度。结果 B组患者阻滞操作时间、感觉神经阻滞起效时间较C组患者短,差异有统计学意义(P>0.05)。B组患者阻滞并发症发生率较C组患者低,差异有统计学意义(P>0.05),其患者满意度较C组患者高,差异有统计学意义(P>0.05)。结论超声引导肌间沟臂丛神经阻滞可以缩短感觉神经阻滞起效时间、提高麻醉效果、减少并发症的发生。
Objective To observe the effect of ultrasound guided interscalene brachial plexus block used in upper extremity surgery.Methods:30 patients undergoing elective upper extremity surgery were randomly divided into ultrasound guided brachial plexus block group(group B)and blind paresthesia of brachial plexus block group(group C)in each group,15 cases in.B group were guided interscalene brachial plexus block under ultrasound,C group were treated with the traditional blind paresthesia of brachial plexus block anesthesia.Comparison of two groups of patients with the general situation,block operation time,success rate,onset time of sensory nerve block,complications and patients satisfaction.Results:the patients in group B anesthesia operation time,sensory block onset time were shorter than the C group,the difference was statistically significant(P>0.05).B patients block complication rate in patients with C group,the difference was statistically significant(P>0.05),the satisfaction of patients than group C patients Conclusion:the difference was statistically significant(P>0.05).Conclusion:the effect of sensory nerve block can be shortened by ultrasound guided brachial plexus block,which can improve the effect of anesthesia and reduce the incidence of complications.
作者
李强
曾菲
林育南
LI Qiang;ZENG Fei;LIN Yu-nan(Department of anesthesia,the third people's Hospital of Chengdu,Sichuan,Chengdu,610000;Sichuan Provincial People's Hospital CICU,Sichuan,chengdu,,610000;Department of anesthesia,the First Affiliated Hospital of Guangxi Medical University,Guangxi,Nanning 523000)
关键词
超声引导
肌间沟入路
臂丛阻滞
上肢手术
Ultrasound-ghuided
Interscalene brachial plexus block
Upper limb surgery
