应用神经阻滞麻醉方法于锁骨骨折手术的临床观察

发布时间：2018-10-31 20:27

【摘要】：目的观察比较四种神经阻滞麻醉方法应用于锁骨骨折的临床疗效。方法随机将160例锁骨骨折的手术患者分成四组,第一组为传统肌间沟臂丛神经阻滞麻醉患者40例;第二组为单纯颈丛神经阻滞麻醉患者40例;第三组为颈5横突臂丛神经阻滞麻醉患者40例;第四组为肌间沟臂丛神经阻滞麻醉加颈浅丛神经阻滞麻醉患者40例。结果第二组的麻醉效果明显差于其他三组(P0.05),第一组的麻醉效果明显差于第三组和第四组(P0.05),第三组和第四组之间无明显差异(P0.05),第四组麻醉并发症发生率明显高于其余三组(P0.05),第一组、第二组、第三组的麻醉并发症无明显差异(P0.05)。结论颈5横突神经阻滞麻醉效果好,而且并发症明显低于臂丛、颈丛及联合麻醉的神经阻滞麻醉。
[Abstract]:Objective to observe and compare the clinical effect of four kinds of nerve block anesthesia in clavicle fracture. Methods 160 patients with clavicular fracture were randomly divided into four groups: the first group was anesthetized by traditional intermuscular sulcus brachial plexus block, the second group by simple cervical plexus nerve block anesthesia. The third group consisted of 40 patients with cervical 5 transverse brachial plexus block and 40 patients with intermuscular sulcus brachial plexus block and cervical superficial plexus block. Results the anesthetic effect of the second group was significantly worse than that of the other three groups (P0.05). The anesthetic effect of the first group was significantly worse than that of the third group and the fourth group (P0.05). There was no significant difference between the third group and the fourth group (P0.05). The incidence of anesthetic complications in the fourth group was significantly higher than that in the other three groups (P0.05). There was no significant difference in anesthetic complications between the first group, the second group and the third group (P0.05). Conclusion Cervical 5 transverse nerve block anesthesia is effective, and the complications are lower than those of brachial plexus, cervical plexus and combined anesthesia.
【作者单位】：新疆医科大学第五附属医院麻醉科;
【分类号】：R614

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