神经刺激器引导下的小儿臂丛阻滞75例分析

Analysis in 75 Cases of Pediatric Brachial Plexus Block Guided with Nerve Stimulator

目的：观察神经刺激器引导下的小儿臂丛阻滞的麻醉效果。方法：75例ASAI级的小儿骨科上肢手术患儿均在小剂量丙泊酚辅助镇静下，在神经刺激器引导下行肌沟臂丛阻滞，阻滞成功后注入0．5％罗哌卡因2．5mg／kg，观察其麻醉效果。结果：阻滞效果优73例，良2例，优良率为100．0％。结论：在小剂量丙泊酚辅助镇静下，神经刺激器引导的小儿臂丛阻滞操作简便、阻滞完善、并发症少，值得临床推广应用。

Objective： To observe the anesthetic effects of pediatric brachial plexus block guided with nerve stimulator. Methods： 75 patients in pediat- ric orthopedic department of ASA grade I with upper limb operation were all with propofol sedation of small doses, and interscalene brachial plexus block guided with nerve stimulator was underway, injecting 0.5% ropivacaine 2.5mg/kg after the success of the block, to observe the anesthetic ef- fects. Results： 73 cases were excellent, 2 cases good, the excellent and good rate was 100%. Conclusion： With propofol sedation of small doses, pedi- atric brachial plexus block guided with nerve stimulator is easy and simple to handle, completely blocked and of fewer complications, being worthy of clinical application.