摘要
目的通过观察外周神经刺激器定位行肌间沟臂丛神经联合颈丛神经阻滞,进行肩部手术的临床效果,与传统盲探的肌间沟臂丛神经联合颈丛神经阻滞进行比对观察分析。方法将肩部手术患者30例分为两组,每组15例。Ⅰ组使用神经刺激器定位下的肌间沟臂丛神经联合颈丛神经阻滞;Ⅱ组采用传统的肌间沟臂丛神经阻滞联合传统颈丛神经阻滞。局麻药物选择1%利多卡因与0.25%左旋布比卡因。记录并比较两组麻醉效果。结果Ⅰ组阻滞完全者占86.7%(13/15),显著高于Ⅱ组的46.6%(7/15)(P<0.01);Ⅰ组阻滞不全者占13.3%,显著低于Ⅱ组的26.7%(P<0.01)。Ⅰ组无阻滞失败病例;Ⅱ组阻滞失败4例。结论使用外周神经刺激器定位行肌间沟臂丛联合颈丛神经阻滞,能明显提高臂丛神经阻滞成功率。
Objective To compare the clinical outcomes of brachial plexus combined with cervical plexus block with and without the guidance of peripheral nerve stimulator. Methods Thirty adult patients undergoing selective shoulder surgery were divided into two groups with 15 cases each. The brachial plexus block combined with cervical plexus block was performed under the guidance of peripheral nerve stimulator in group Ⅰ ,and with conventional technigue in group Ⅱ. Local anesthetic solution was a mixture of 1% lidocaine and 0. 25% levobupivacaine in both groups. The clinical results of nerve block were assessed and compaered. Results Complete brachial plexus block was seen in 13 cases （86.7%） in group Ⅰ ,which was significantly higher than 7 cases （46.6%） in group Ⅱ （P〈0. 01）. The uncomplete rate of nerve bloch was 13. 3% in group Ⅰ and 26.7% in group Ⅱ （P〈0. 01）. Failure block happed in 4 cases in group Ⅱ ,which did not in group Ⅰ. Conclusion Brachial plexus block can be improved by the guidance of nerve stimulator.
出处
《江苏医药》
CAS
CSCD
北大核心
2008年第8期769-770,共2页
Jiangsu Medical Journal
关键词
臂丛神经阻滞
颈丛神经阻滞
外周神经刺激器
Brachial plexus block
Cervical plexus block
Peripheral nerve stimulator
