对行手术治疗的锁骨骨折患者实施臂、颈丛神经阻滞麻醉的效果分析

发布时间：2018-07-12 17:44

本文选题：锁骨骨折 + 臂、颈丛神经阻滞麻醉　；参考：《当代医药论丛》2016年05期

【摘要】：目的 :探讨对进行手术治疗的锁骨骨折患者实施臂、颈丛神经阻滞麻醉(臂丛神经阻滞麻醉和颈丛神经阻滞麻醉)的临床效果。方法 :对2012年2月至2015年8月期间在我院进行手术治疗的90例锁骨骨折患者的临床资料进行回顾性研究。我们将这90例患者随机分为臂、颈丛组和臂丛组,每组各有45例患者。在这两组患者进行手术期间,为臂丛组患者进行臂丛神经阻滞麻醉,为臂、颈丛组患者进行臂、颈丛神经阻滞麻醉。麻醉结束后,比较两组患者麻醉的效果、不良反应的发生率、麻醉期间(对其骨折部位周围的筋膜组织进行分离时)的HR(心率)、MAP(平均动脉压)和SPO2(血氧饱和度)。结果 :臂、颈丛组患者麻醉的优良率明显高于臂从组患者,二者相比差异具有显著性(P0.05)。臂、颈丛组患者麻醉期间的HR和MAP均明显低于臂从组患者,二者相比差异具有显著性(P0.05)。两组患者麻醉期间的SPO2和术后不良反应的发生率相比差异不具有显著性(P0.05)。结论 :对进行手术治疗的锁骨骨折患者实施臂、颈丛神经阻滞麻醉的临床效果确切,可有效地降低其HR和MAP,而且不会增加其不良反应的发生率。
[Abstract]:Objective: to investigate the clinical effect of brachial plexus block anesthesia and cervical plexus nerve block anesthesia in patients with clavicle fracture. Methods: the clinical data of 90 cases of clavicle fracture treated in our hospital from February 2012 to August 2015 were retrospectively studied. We randomly divided these 90 patients into three groups: arm, cervical plexus and brachial plexus, with 45 patients in each group. During the operation, the brachial plexus group was anesthetized by brachial plexus block, the arm, the cervical plexus group and the cervical plexus group were anesthetized by brachial plexus block. After anesthesia, the effect of anesthesia, the incidence of adverse reactions, HR (heart rate) and SPO _ 2 (mean arterial pressure) during anesthesia (when separating the fascia tissue around the fracture site) were compared between the two groups. Results: the excellent and good rate of anesthesia in arm and cervical plexus group was significantly higher than that in arm slave group (P0.05). HR and map in arm and cervical plexus group were significantly lower than those in arm slave group during anesthesia (P0.05). There was no significant difference in the incidence of SPO 2 and postoperative adverse reactions between the two groups (P0.05). Conclusion: the clinical effect of cervical plexus block anesthesia on clavicle fracture patients treated by operation is effective, which can reduce HR and MAPP effectively, and does not increase the incidence of adverse reactions.
【作者单位】：安徽省蚌埠市第二人民医院麻醉科;
【分类号】：R614

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