臂丛颈丛浅支联合神经阻滞麻醉在锁骨骨折内固定术中的效果探讨

To Explore the Clinical Effects of Nerve Block Anesthesia of Superficial Branch Brachial Plexus Combine With and Cervical Plexus on Internal Fixation of Clavicle Fracture

目的探讨臂丛颈丛浅支联合神经阻滞麻醉在锁骨骨折切开复位内固定术中的应用效果。方法研究对象选取我院近年来收治需行锁骨骨折切开复位内固定术患者70例,随机分为对照组与试验组,各35例,分别采用单纯臂丛神经阻滞麻醉和臂丛+颈丛(浅支)联合神经阻滞麻醉;比较两组患者麻醉效果,手术过程中心率(HR),平均动脉压(MAP)及血氧饱和度(SPO2)的差异。结果试验组患者麻醉效果优于对照组,P<0.05,差异具有统计学意义;两组患者手术过程中HR、MAP及SPO2水平比较,P>0.05,差异不具有统计学意义。结论臂丛+颈丛浅支联合神经阻滞用于锁骨骨折切开复位内固定术可有效改善麻醉效果,优于单纯臂丛神经阻滞麻醉,且对机体循环、呼吸系统功能影响无不良影响。

Objective To investigate the clinical analgesia effects of combination nerve block anesthesia of superifcial branch of brachial plexus and cervical plexus on internal fixation of clavicle fracture.Methods Selected 70 patients with internal fixation of clavicle fracture in recent years in our hospital were randomly divided into the control group with nerve block anesthesia of superifcial branch of cervical plexusa used alone and the observation group with combination nerve block anesthesia of superifcial branch of brachial plexus and cervical plexus, each group had 35 cases. The anesthetic effect, the levels of heart rate （ HR ）, mean arterial＆amp;nbsp;pressure （ MAP ）, and blood oxygen saturation （ SPO2 ） of both groups were compared.ResultsThe anesthetic effect of observation group were better than control group,P〈0.05, had difference statistically signiifcance, compared the levels of heart rate （ HR ）, mean arterial pressure （ MAP ）, and blood oxygen saturation （ SPO2 ） between two groups,P〉0.05, had difference statistically signiifcance.Conclusion Compared with nerve block anesthesia of superifcial branch of cervical plexusa used alone, combination nerve block anesthesia of superifcial branch of brachial plexus and cervical plexus on internal fixation of clavicle fracture can efficiently improve the effect of anesthesia and have no adverse effect on the function of the circulatory system.