超声联合神经刺激器引导下臂丛加颈浅丛阻滞麻醉在肩锁手术中的应用被引量：5

导出

摘要目的探讨超声联合神经刺激器引导下臂丛复合颈浅丛阻滞麻醉在肩锁手术中的应用效果.方法选择肩锁手术患者60例,采用随机数字表法分为3组,每组20例.A组为传统方法定位组,S组为神经刺激器定位组,US组为超声联合神经刺激器定位组.观察三组的神经阻滞麻醉操作完成时间、起效时间、阻滞完善时间、麻醉效果、麻醉持续时间.结果 US组和S组的操作时间、阻滞起效时间、阻滞完善时间均短于A组（P＜0.05）,US组的操作时间、阻滞起效时间、阻滞完善时间均短于S组（P＜0.05）.S、US组麻醉优等率高于A组（P＜0.05）,S、US组麻醉持续时间、麻醉优等率比较差异无统计学意义（P＞0.05）.结论与传统方法和神经刺激器方法相比,超声联合神经刺激器引导下臂丛颈丛联合阻滞麻醉方法麻醉起效快,麻醉效果好,提高了麻醉安全性和有效性.

作者曾兆东柯纬祺辛映卿林树勇程明华

机构地区汕头大学医学院第一附属医院麻醉科

出处《中国医师杂志》 CAS 2015年第10期1553-1554,共2页 Journal of Chinese Physician

基金基金项目：汕头市医疗科技计划项目（汕府科【2014】62号）

关键词超声检查物理刺激/仪器和设备神经传导阻滞臂丛颈丛肩锁关节/外科学

分类号 R614 [医药卫生—麻醉学]

引文网络
相关文献

参考文献8

1鲁智勇,陈梅花.超声引导下一针法神经阻滞用于肩锁关节手术的麻醉效果观察[J].中国医师杂志,2013,15(11):1550-1551. 被引量：5
2车龙通,李玉楚,黎赞星,周少宇.超声引导下连续锁骨上臂丛阻滞在肩部手术后镇痛的应用[J].中国医师杂志,2013,15(6):832-834. 被引量：4
3Kumar A, Sharma D, Sibi ME, et al. Comparison of peripheral nerve stimulator versus ultrasonography guided axillary block using multiple injection technique[J]. Indian J Anaesth, 2014,58(6) : 700-704.
4Arab SA, Alharbi MK, Nada EM, et al. Ultrasound-guided supra- clavicular brachial plexus block: single versus triple injection tech- nique for upper limb arteriovenous access surgery [ J ]. Anesth Analg,2014,118 (5) :1120-1125.
5Ecoffey C, Oger E, Marchand-Maillet F, et al. Complications as- sociated with 27 031 ultrasound-guided axillary brachial plexus blocks : a web-based survey of 36 French centres [ J ]. Eur J An- aesthesiol, 2014,31 ( 11 ) :606-610.
6Duger C, Isbir AC, Kaygusuz K, et al. The importance of needle echogenity in ultrasound guided axillary brachial plexus block: a randomized controlled clinical study [ J ]. Int J Med Sci,2013, 10 (9) :1108-1112.
7Gauss A, Tugtekin I, Georgieff M, et al. Incidence of clinically symptomatic pneumothorax in ultrasound-guided infraclavicular and supraclavicular brachial plexus block [ J ]. Anaesthesia, 2014,69 (4) :327-336.
8Portela DA, Otero PE, Biondi M, et al. Peripheral nerve stimulation under uhrasonographic control to determine the needle-to-nerve re- lationship [ J ]. Vet Anaesth Analg,2013,40 (6) : e91 -e99.

二级参考文献16

1Ponde VC, Shah DM, Mane S. Role of ultrasound-guided continu- ous brachial plexus block in the management of neonatal ischemia in upper limb. Sandi J Anaesth,2012,6(4) :423-425. doi: 10. 4103/1658-354X. 105898.
2Wong MH, George A, Varma M. Ultrasound-guided perivascular axillary brachial plexus block: not so simple. Reg Anesth Pain Med, 2013, 38 ( 2 ): 167. doi: 10. 1097/AAP. ObO13e3182766750.
3Ustuner E, Yllmaz A, Ozgencil E, et al. Ultrasound anatomy of the brachial plexus nerves in the neurovascular bundle at the axilla in patients undergoing upper-extremity block anesthesia. Skeletal Radiol,2013,42 (5) :707-713. doi: 10. 1007/s00256-013-1578- 7.
4Nojima H, Taninishi H, Tani M, et al. Effect of ultrasound- guided brachial plexus block on perioperative pain management of total elbow arthroplasty. Masui ,2012,61 (12) : 1324-1330.
5Gupta K, Bhandari S, Sing, hal D, et al. Pneumothorax fallowing ultrasound guided supraelavieular braehial plexus block. J Anaes- thesiol Clin Pharmaeol,2012,28 (4) :543-544. doi: 10. 4103/ 0970-9185. 101962.
6Faleao LF, Perez MV, de Castro I, et al. Minimum effective vol- ume of O. 5% bupivacaine with epinephrine in ultrasound-guided interscalene brachial plexus block. Br J Anaesth, 2013,110 (3) : 450-455. doi: 10. 1093/bja/aes419.
7庄心良;曾因明;陈伯銮.现代麻醉学[M]{H}北京:人民卫生出版社,20031060-1062.
8田玉科;梅伟.超声定位神经阻滞图谱[M]{H}北京:人民卫生出版社,2011213.
9张祯浪.颈丛+臂丛阻滞用于锁骨骨折的麻醉效果观察[J].海南医学,2010,21(14):70-71. 被引量：5
10许晓梦,杨作天,阮骆阳,曹金良,梁艳艳.颈臂丛联合麻醉在锁骨骨折手术中的应用[J].中国实用医药,2011,6(5):148-149. 被引量：5