电针刺激联合颈丛神经阻滞麻醉对锁骨骨折手术的影响

Effect of cervical plexus block and acupuncture anesthesia anesthesia in the operation of clavicula fracture

目的:探讨电针刺激联合颈丛神经阻滞对锁骨骨折手术病人麻醉效果以及对术中呼吸循环等影响。方法:选择80例择期行锁骨骨折手术的病人,将患者按随机数字表法分为AB 2组,每组40例。A组行单纯颈丛神经阻滞麻醉,包括一点法颈深丛阻滞和同侧颈浅丛阻滞,B组行电针刺激联合颈丛神经阻滞,先用电针刺激患侧合谷、内关穴、扶突穴,然后再行颈丛神经阻滞,方法同上。比较2组在手术过程中各个时段血压、心率、血氧饱和度、VAS评分及静脉应用辅助镇痛药芬太尼的剂量。结果:B组病人的MAP、HR在术中各时段低于A组(P<0.05),VAS评分和芬太尼用量低于A组(P<0.05)。结论:ZZZ电针刺激联合颈丛神经阻滞用于锁骨骨折手术麻醉效果确切,对病人生理干扰小,术中血流动力学更稳定,局麻药和辅助药用量少、安全性高,是一种较好的麻醉方法。

Objective ： To study the clinical effects of cervical plexus block and acupuncture anesthesia in the operation of clavicula fracture,including the effects of anesthesia and respiratory, cardio vascular system. Methods 80 patients with clavicula fracture were selected randomly divided into A and B groups,40 cases in each group. A group were applied cervical plexus block anesthesia only, including cervical deep plexus block and homolateral cervical low plexus block by one--point method. B group were applied cervical plexus block and acupuncture First, to stimulate Hegu, Neiguan and Futu points, then apply cervical plexus block. To compare the blood pressures, heart rate, oxygen saturation, VAS scores and the does of anqlgetic in Vein. Rseults.The MAP. HR of the various time periods of the patient＇s operation in group B are lower than those in group A （P 〈0.05） ,VAS scores and the quantity of applied Fentanyl are less than those in group A （P 〈 0.05）. Conrdusion： The method of cervical plexus block and acupuncture anesthesia in the operation of clavicula fracture were better and were proved the side effects were less and this method can reduce anesthetics consumption and anesthesia risk. The hemodynamics were more stable with doctors.