肌间沟联合腋路法臂丛神经阻滞麻醉效果临床观察

Clinical effect of brachial plexus block anesthesia via intermuscular groove combined with axillary approaches

目的探讨肌间沟联合腋路法臂丛神经阻滞麻醉的临床效果和安全性,为临床应用提供依据。方法回顾性分析2011年3月～2012年3月在本院实施臂丛神经阻滞麻醉的200例上肢骨折患者的临床资料。根据麻醉方法的不同,将患者分为两组。以肌间沟联合腋路法阻滞的100例患者为观察组,以单一的肌间沟或腋路阻滞的100例患者为对照组,比较两组臂丛神经阻滞方法的麻醉效果。结果肌间沟联合腋路法臂丛神经阻滞的麻醉效果明显优于对照组,达到完全阻滞时间明显短于对照组,且并发症发生率低(P<0.05)。结论肌间沟联合腋路法臂丛神经阻滞麻醉在肩部和上肢手术中麻醉效果确切,值得临床推广。

Objective To discuss the clinical effect and safety of brachial plexus block anesthesia via intermuscular groove combined with axillary approaches. Methods A retrospective analysis was made in the clinical data of 200 patients with fracture of upper limbs receiving the brachial plexus block anesthesia in our hospital from March 2011 to March 2012. According to the different anesthesia methods they received,those patients were divided into two groups. Observation group （100 cases） received the block via intermuscular groove combined with axillary approaches. Control group （ 100 cases） received the block simply via the intermuscular groove or axillary approach. Comparison was made in the effect of brachial plexus block anesthesia between the two groups. Results The anesthesia effect of the observation group was obviously superior to that of the control group. Its time to the complete block was significantly shorter than that of the control group, and its incidence of complications was lower （ P 〈 0.01 ）. Conclusion Brachial plexus block anesthesia via intermascular groove combined with axillary approaches has obvious anesthesia effect and is worthwhile to be promoted.