改良法锁骨下血管旁臂丛神经阻滞临床观察

Clinical observation on arm clump of nerve hinder with modified methods

目的:寻求一种更安全有效的锁骨下血管旁臂丛神经阻滞改良方法,并评价其可行性。方法:选择清醒合作,无麻醉禁忌证的上肢手术患者135例,全部采用改良法锁骨下血管旁臂丛神经阻滞,观察穿刺时的异感率、阻滞效果以及麻醉并发症发生情况。结果:共有132例穿刺时出现异感,占97.8%。129例阻滞完善,占95.6%,6例出现阻滞不全。无严重并发症发生。结论:改良法锁骨下血管旁臂丛神经阻滞具有阻滞安全、并发症少、效果确切、操作简单等优点,值得在临床上推广使用。

Objective： To seek the methods of an arm clump of nerve hinder and appraise its feasibility. Methods： 135 cases under went the sober cooperation, the non-anaesthesia taboo upper limb surgery were observed. The subclavian blood vessel arm clump of nerve hinder was carried out. The puncture feeling rate hinder effect as well as the anaesthesia complication were recorded. Results： 132 cases present the different feeling, account for 97.8%. 129 cases hindered completely occupied 95.6%, 6 cases appeared hinder incomplete. No serious complication occured. Conclusion： The modified subclavian blood vessel arm clump nerve hinders shows the security, the less complication , accurate and are worth on clinical use.