摘要
目的观察超声实时引导锁骨上臂丛神经阻滞应用于上肢手术患者的临床效果。方法选择我院118例行择期上肢手术的ASAⅠ-Ⅱ级患者,随机分为2组,每组各59例,分别使用不同的神经定位阻滞方法(Ⅰ组为传统的解剖定位法,Ⅱ组为超声引导定位法),两组均为肌间沟法臂丛神经阻滞,局麻药均使用0.6%甲磺酸罗哌卡因和0.75%盐酸氯普鲁卡因合剂。比较两组神经阻滞的效果、并发症的发生率和局麻药的用量。结果Ⅱ组的麻醉效果较好,与Ⅰ组比较差异有统计学意义(P<0.05),Ⅱ组的局麻药用量较少且无并发症的发生。结论超声引导肌间沟臂丛神经阻滞,能提高麻醉效果,减少麻醉药物用量,减少并发症与不良反应。
Objective To observe the effect of brachial block guided ultrasound. Methods One hundred and eighteen ASA Ⅰ - Ⅲ patients （91 male,27 female, aged 18 - 60 years, weighing 40 - 80 kg）, scheduled for supraclavieular brachial plexus block, were divided into two groups（ Ⅰ group：guided by Traditional anatomical methods, n = 59 ; Ⅱ group ： guided by ultrasound, n = 59 ） ： 0. 6% Ropivacaine and 0.75 % Chlorine Puka due were injected in two Groups. Were compared the effect of nerve block, the incidence of complications and the dosage of the local anesthetic between two groups. Results Ⅱ group had better anesthetic effect, less narcotic drugs and no anesthesia complications. Ⅱ group has statistically significant difference compared with Group Ⅰ. Conclusion Interscalene brachial plexus block, can improve anesthetic effect, reduce the amount of anesthetic drugs, reduce complications and adverse reactions.
出处
《中国现代药物应用》
2013年第8期22-23,共2页
Chinese Journal of Modern Drug Application
关键词
超声检查
臂丛
神经阻滞
Ultrasonography
Interventional Bmehial plexus
Nerve block
