摘要
目的评价三种横突入路臂丛阻滞对臂丛感觉和运动神经各分支的阻滞效果。方法 200例需行肩部、上肢手术患者,分别在颈5(C_5,78例),颈6(C_6,70例),颈7(C_7,52例)横突入路下进行臂丛阻滞。评价阻滞后30 min各感觉和运动神经阻滞效果,并记录并发症情况。结果三种横突入路对臂丛神经分支阻滞效果不同,C_5入路对腋神经和C_4神经阻滞率较C_6、C_7入路高(P<0.05),而C_7入路对尺神经感觉和运动阻滞的完善程度较C_6入路明显提高(P<0.05),均无严重并发症发生。结论三种横突入路臂丛阻滞对臂丛感觉和运动神经各分支的阻滞效果不同。
Objective To evaluate the block effect of brachial plexus nerve block located by different trans- verse process on sensory and motor nerve branches. Methods Two hundred adult patients, ASA Ⅰ～Ⅱ , received a different brachial plexus block by C5 , C6, C7 processus transverses approach according to different operative site. Senory block grading and motor nerve branches block grading were evaluated, then complications were recorded. Results Axillary nerve and C4 nerve received a excellent block effect by C5 processus transverses approach than C6, C7 （P 〈 0. 05） ; ulnar nerve block effect were significantly improved by C7 processus transverses approach than C6 （ P 〈 0. 05）. Conclusion Brachial plexus block by different transverse process approach has different block effect on sen- sory and motor nerve branches.
出处
《中国临床新医学》
2011年第12期1120-1123,共4页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
基金
广西卫生厅科研课题(编号:桂卫Z2010252)
关键词
臂丛神经阻滞
横突
定位
上肢手术
Brachial plexus block
Processus transverses
Localization
Upper extremity surgery
