锁骨手术臂丛和颈丛浅支联合阻滞麻醉效果分析

发布时间：2019-05-11 16:52

【摘要】：目的:分析臂丛和颈丛浅支联合阻滞在锁骨手术麻醉中的应用效果。方法:将在汕尾市第二人民医院(汕尾逸挥基金医院)2014年10月至2015年9月接受锁骨骨折内固定术治疗的72例患者随机分为联合组和对照组,联合组实施臂丛和颈丛浅支联合阻滞麻醉,对照组实施单纯颈丛浅支阻滞麻醉,比较两组患者围手术期的生命体征状况以及术后12 h、24 h的疼痛情况。结果:两组麻醉前的生命体征状况比较,差异无统计学意义(P0.05),联合组骨折复位时、术后2 h的生命体征状况均优于对照组,差异具有统计学意义(P0.05),术后12 h、24 h的疼痛视觉模拟评分(VAS)均低于对照组,差异具有统计学意义(P0.05)。结论:臂丛和颈丛浅支联合阻滞麻醉用于锁骨手术,麻醉效果安全可靠。
[Abstract]:Objective: to analyze the effect of combined block of brachial plexus and superficial branch of cervical plexus in clavicle surgery anesthesia. Methods: from October 2014 to September 2015, 72 patients who underwent clavicle fracture internal fixation in Shanwei second people's Hospital (Shanwei Yiwei Fund Hospital) were randomly divided into combined group and control group. The combined anesthesia of brachial and superficial branches of cervical plexus was performed in the combined group and the simple anesthesia of superficial branch of cervical plexus was performed in the control group. The perioperative vital signs and pain of the two groups were compared at 12 hours and 24 hours after operation. Results: there was no significant difference in vital signs between the two groups before anesthesia (P 0.05). The vital signs of fracture reduction in the combined group were better than those in the control group 2 hours after operation, and the difference was statistically significant (P 0.05). At 12 hours after operation, the (VAS) of 24 h pain visual simulation score was lower than that of the control group, the difference was statistically significant (P 0.05). Conclusion: combined block anesthesia of brachial plexus and superficial branch of cervical plexus is safe and reliable in clavicle surgery.
【作者单位】：汕尾市第二人民医院(汕尾逸挥基金医院);
【分类号】：R614.4

【相似文献】