不同定位方法在臂丛神经阻滞中的应用效果比较(1)
[摘要]目的 探讨不同定位方法在臂丛神经阻滞中的应用效果。方法 选取我院2015年5月～2017年8月收治的100例上肢骨折患者为研究对象，按照区组随机化法分为对照组(n=50)和实验组(n=50)。对照组在臂丛神经阻滞干预时以传统手法解剖学定位，实验组接受超声引导下定位。比较两组的麻醉药品用量、镇痛持续时间、麻醉起效时间、阻滞操作时间、麻醉效果、并发症发生情况。结果 实验组的麻醉药物使用量为(17.24±2.53)ml，低于对照组，麻醉起效时间为(11.54±2.88)min、阻滞操作时间为(185.52±24.85)s，均短于对照组，镇痛持续时间为(11.41±2.38)h，长于对照组，差异均有统计学意义(P<0.05)。实验组的麻醉效果优良率为98.00%，高于对照组，差异有统计学意义(P<0.05)。实验组的并发症总发生率为0.00%，低于对照组，差异有统计学意义(P<0.05)。结论 臂丛神经阻滞中实施超声引导下定位可取得较好的麻醉效果，具有较高的安全性。
[关键词]定位;臂丛神经阻滞;超声
[中图分类号] R614.4 [文献标识码] A [文章编号] 1674-4721(2019)1(b)-0189-03
[Abstract] Objective To investigate the application effect of different positioning methods in brachial plexus block. Methods From May 2015 to August 2017， 100 patients with upper extremity fracture treated in our hospital were selected as study subjects. According to the block randomization method， the patients were divided into the control group (n=50) and the experimental group (n=50). The control group was given traditionally anatomical positioning during the intervention of brachial plexus block. The experimental group was given ultrasound-guided positioning. The doses of anesthetics， the duration of analgesia， the onset time of anesthesia， the duration of block operation， the anesthetic effect， and incidence of complications were compared between the two groups. Results The anesthetic dosage in the experimental group was (17.24±2.53) ml， which was ower than that of the control group， the anesthesia onset time was (11.54±2.88) min， and the duration of block operation was (185.52±24.85) s， which were shorter than those of the control group， and the duration of analgesia in the experimental group was (11.41±2.38) h， which was longer than that of in the control group， and the differences were statistically significant (P<0.05). The excellent and good rate of anesthesia in the experimental group was 98.00%， which was higher than that in the control group， and the difference was statistically significant (P<0.05). The total incidence rate of complication in the experimental group was 0.00%， which was lower than that in the control group， and the difference was statistically significant (P<0.05). Conclusion Ultrasound-guided positioning in brachial plexus block can achieve better anesthetic effect and higher safety.
[Key words] Positioning; Brachial plexus block; Ultrasound
臂叢神经阻滞是目前常用的一种麻醉方法，以往主要是采用解剖学定位的方式来实施臂丛神经阻滞干预，但是其缺乏直观性，出现失败的概率较高，其麻醉效果难以满足手术的需求，具有较高的并发症发生率[1-2]。随着医疗技术水平的不断进步，使超声引导下臂丛神经阻滞的应用价值不断提高，其具有可视性，可为麻醉医生确定具体穿刺部位以及对局麻药物在神经周围具体扩散规律的观察提供依据[3-4]。为探讨臂丛神经阻滞中应用不同定位方法的价值，本研究以100例上肢骨折患者为研究对象，比较在其臂丛神经阻滞中实施传统手法解剖学定位以及超声引导下定位的效果，总结超声引导下定位的应用价值。, 百拇医药(黄肖娟)
[关键词]定位;臂丛神经阻滞;超声
[中图分类号] R614.4 [文献标识码] A [文章编号] 1674-4721(2019)1(b)-0189-03
[Abstract] Objective To investigate the application effect of different positioning methods in brachial plexus block. Methods From May 2015 to August 2017， 100 patients with upper extremity fracture treated in our hospital were selected as study subjects. According to the block randomization method， the patients were divided into the control group (n=50) and the experimental group (n=50). The control group was given traditionally anatomical positioning during the intervention of brachial plexus block. The experimental group was given ultrasound-guided positioning. The doses of anesthetics， the duration of analgesia， the onset time of anesthesia， the duration of block operation， the anesthetic effect， and incidence of complications were compared between the two groups. Results The anesthetic dosage in the experimental group was (17.24±2.53) ml， which was ower than that of the control group， the anesthesia onset time was (11.54±2.88) min， and the duration of block operation was (185.52±24.85) s， which were shorter than those of the control group， and the duration of analgesia in the experimental group was (11.41±2.38) h， which was longer than that of in the control group， and the differences were statistically significant (P<0.05). The excellent and good rate of anesthesia in the experimental group was 98.00%， which was higher than that in the control group， and the difference was statistically significant (P<0.05). The total incidence rate of complication in the experimental group was 0.00%， which was lower than that in the control group， and the difference was statistically significant (P<0.05). Conclusion Ultrasound-guided positioning in brachial plexus block can achieve better anesthetic effect and higher safety.
[Key words] Positioning; Brachial plexus block; Ultrasound
臂叢神经阻滞是目前常用的一种麻醉方法，以往主要是采用解剖学定位的方式来实施臂丛神经阻滞干预，但是其缺乏直观性，出现失败的概率较高，其麻醉效果难以满足手术的需求，具有较高的并发症发生率[1-2]。随着医疗技术水平的不断进步，使超声引导下臂丛神经阻滞的应用价值不断提高，其具有可视性，可为麻醉医生确定具体穿刺部位以及对局麻药物在神经周围具体扩散规律的观察提供依据[3-4]。为探讨臂丛神经阻滞中应用不同定位方法的价值，本研究以100例上肢骨折患者为研究对象，比较在其臂丛神经阻滞中实施传统手法解剖学定位以及超声引导下定位的效果，总结超声引导下定位的应用价值。, 百拇医药(黄肖娟)