超声引导和传统解剖定位法用于肌间沟臂丛神经阻滞的麻醉效果比较

发布时间：2018-06-11 19:59

本文选题：超声引导 + 解剖定位　；参考：《福建医药杂志》2016年02期

【摘要】：目的比较超声引导和传统解剖定位法用于肌间沟臂丛神经阻滞的麻醉效果和安全性。方法 60例择期行上肢手术患者,随机均分成A、B两组,A组在超声引导下行肌间沟臂丛神经阻滞,B组传统解剖定位下行肌间沟臂丛神经阻滞,局麻醉药均使用2%利多卡因和0.75%左布比卡因混合液(1∶1)20mL。记录比较两组患者麻醉起效时间、维持时间、尺神经阻滞完善情况、麻醉效果以及不良反应。结果 A组患者麻醉起效时间短于B组,麻醉维持时间长于B组;A组患者麻醉优良率明显高于B组,无麻醉并发症,而且尺神经阻滞较完全。结论超声引导肌间沟臂丛神经阻滞起效快,维持时间长,麻醉效果佳,并发症少,操作成功率高,尺神经阻滞更完全,值得临床推广。
[Abstract]:Objective to compare the anesthetic effect and safety of ultrasound guided and traditional anatomical localization for intermuscular sulcus brachial plexus block. Methods Sixty patients undergoing elective upper limb operation were randomly divided into two groups: group A and group A were treated with ultrasound guided intermuscular sulcus brachial plexus block and group B were subjected to intermuscular sulcus brachial plexus block under traditional anatomic orientation. All the anesthetics were treated with 2% lidocaine and 0.75% levobupivacaine. The onset time, maintenance time, improvement of ulnar nerve block, anaesthesia effect and adverse reaction were recorded and compared between the two groups. Results the onset time of anesthesia in group A was shorter than that in group B, and the maintenance time of anesthesia in group A was longer than that in group B. The excellent and good rate of anesthesia in group A was significantly higher than that in group B. there were no complications of anesthesia and the ulnar nerve block was more complete. Conclusion Ultrasound-guided intermuscular sulcus brachial plexus block has the advantages of quick onset, long maintenance time, good anesthetic effect, less complications, high operational success rate, and more complete ulnar nerve block, which is worth popularizing in clinic.
【作者单位】：福建省莆田市第一医院麻醉科;
【分类号】：R614

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