腋路臂丛神经阻滞_

神经刺激与异感两种定位方法对腋路臂丛多点阻滞效果的比较

http://www.100md.com 《第四军医大学学报》 2003年第7期

腋路臂丛神经阻滞,,腋路臂丛神经阻滞；神经刺激仪；利多卡因；布比卡因,0引言,1对象和方法,2结果,3讨论,【参考文献】

     (第四军医大学西京医院麻醉科，陕西，西安 710033)

    Multiple point injection for axillary brachial plexus block: A comparison of two methods of nerve localizationnerve stimulation versus paresthesia

    JI GenLing, ZENG Yi, XIONG LiZe, SHI YuXiang, XIONG DongFang, XU Ning, HU Sheng, LI Jie

    Department of Anesthesiology, Xijing Hospital, Fourth Military Medical University, Xian 710033 China

    【Abstract】 AIM: To compare the onset time and the success rate of a multiple point injection for axillary brachial plexus block performed by using two methods of nerve localization: paresthesia elicitation or nerve stimulation. METHODS: Each of the major nerves of the plexus was located by elicitation of a paresthesia (Group PAR; n= 48) or by nerve stimulation (Group PNS; n=48) and injected with 8 mL of local anesthetic solution. Time of blocking, onset, beginning of surgery and total anesthetic period was recorded respectively. RESULTS: The time recorded in Group PNS was significantly shorter than that in Group PAR (91% vs 76%; P<0.05) and the success rate for anesthetizing the radial and the musculocutaneous nerves in Group PNS was higher in Group PNS (P<0.05). The rate of venous puncture was higher in Group PAR (P<0.05). CONCLUSION: Nerve stimulation is a better than paresthesia elicitation for axillary brachial plexus block. ......

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