超声引导锁骨上臂丛神经阻滞麻醉效果观察

发布时间：2018-03-09 11:09

本文选题：臂丛神经阻滞　切入点：锁骨上入路　出处：《山东医药》2015年05期 　论文类型：期刊论文

【摘要】：目的观察超声引导下经锁骨上入路臂丛神经阻滞的效果。方法选择90例拟行上肢手术的患者随机分为三组:传统方法组(T组)、神经刺激仪组(N组)、超声引导组(U组),每组30例。局麻药为1%盐酸罗哌卡因注射液和2%盐酸氯普鲁卡因注射液1∶1的混合液20 m L。观察三组桡神经、肌皮神经、正中神经、尺神经的阻滞起效时间和阻滞效果,评定手术全程的麻醉效果。结果 U组和N组各神经阻滞起效时间明显短于T组,且U组短于N组(P均0.01)。U组和N组正中神经阻滞完善率明显高于T组(P0.01),U组尺神经阻滞完善率高于N组和T组(P0.01)。U组、N组麻醉优良率高于T组(P0.05)。U组麻醉优等率(手术时完全无疼痛)明显高于N组、T组(P0.05或0.01)。三组并发症发生情况比较无统计学差异。结论超声引导锁骨上臂丛神经阻滞较神经刺激仪辅助及传统方法阻滞效果更好。
[Abstract]:Objective to observe the effect of supraclavicular brachial plexus block guided by ultrasound. Methods 90 patients undergoing upper limb operation were randomly divided into three groups: the traditional method group, the nerve stimulator group, and the ultrasound guidance group. The local anesthetic drugs were 1% ropivacaine hydrochloride injection and 2% chloroprocaine injection mixture of 1: 1, 20 mL. The radial nerve was observed in three groups. The onset time and effect of musculocutaneous nerve, median nerve and ulnar nerve block were evaluated. Results the onset time of nerve block in group U and group N was significantly shorter than that in group T. And the improvement rate of median nerve block in group U and group N was significantly higher than that in group T and group N (P < 0.01). The improvement rate of ulnar nerve block in group U was higher than that in group N and group T (P 0.01). The excellent and good rate of anesthesia in group N was higher than that in group T (P 0.05. 5. U) (at operation time). The incidence of complications was not significantly different among the three groups. Conclusion Ultrasound-guided superior clavicular brachial plexus block is more effective than nerve stimulator and traditional method.
【作者单位】：南京中医药大学附属常州中医医院;
【分类号】：R614

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