一针法颈丛臂丛联合麻醉用于肩部手术的效果观察

Effects of one needle cervical plexus brachial plexus complex anesthesia for shoulder surgery

目的探讨一针法颈丛臂丛联合麻醉的方法及在肩部手术中的临床疗效。方法选择肩部手术140例,随机分为一针法颈丛臂丛联合麻醉组(Ⅰ组)68例和两针法颈丛臂丛联合麻醉组(Ⅱ组)72例。两组均注入0.375%布比卡因与0.5%利多卡因复合液20 ml。观察两组麻醉效果及不良反应。结果两组患者麻醉效果及不良反应比较差异均无统计学意义。结论一针法和两针法颈丛臂丛联合麻醉的麻醉效果无差异,一针法颈丛臂丛联合麻醉定位简单、操作容易、减少患者痛苦和气胸发生。

Objective To investigate one needle cervical plexus brachial plexus complex anesthesia method and its clinical effect in shoulder surgery.Methods 140 cases of shoulder surgery were randomly divided into an acupuncture cervical plexus brachial plexus anesthesia group（Ⅰ group） and two needle cervical plexus brachial plexus anesthesia group（Ⅱ group）.Both groups were injected 0.375% bupivacaine and 0.5% lidocaine complex solution 20ml.Anesthetic effect and adverse reactions were observed.Results No statistic difference in anesthetic effect and adverse reaction of the two groups were observed.Conclusion One needle and two needle cervical plexus brachial plexus complex anesthesia have no difference in anesthetic effect.One needle cervical plexus brachial plexus complex anesthesia is characterized by simple location and easy operation.It is proved to be less suffering and decrease the incidence of pneumothorax.