肌间沟一点法颈臂丛神经阻滞用于锁骨骨折手术的疗效观察

Efficacy Observation of Applying Interscalene Point Method Brachial Plexus Block to Clavicle Fracture Surgery

目的:采用肌间沟一点法颈臂丛神经阻滞麻醉对锁骨骨折患者进行麻醉,以观察临床应用效果以及各种临床反应。方法:选取40例准备进行锁骨骨折患者进行临床手术并分为A、B两组,每组20例。A组采用颈浅丛联合臂丛神经阻滞麻醉,B组采用肌间沟一点法颈臂丛神经阻滞麻醉。随后记录24h内两组的阻滞情况,并对不良反应、麻醉情况以及术后发展进行评价。结果:A组的麻醉完善程度以及不良反应明显低于B组。结论:肌间沟一点法颈臂丛神经阻滞在用于锁骨骨折手术上有明显优势,且副作用小于其他两组,操作简易明了,麻醉率高。

Objective:To use interscalene point method brachial plexus block to anaesthetize patietns with clavicle fracture,and to observe the clinical effect and a variety of clinical reactions.Methods:40 cases of patients who were to receive clavicle fracture surgery were divided into A group and B group,20 cases in each group.A group was treated with superficial cervical plexus and brachial plexus anesthesia,B group was treated with interscalene point method cervical brachial plexus anesthesia.Then record within 24 hours the blocking situation in both groups,and evaluate the adverse reactions,anesthesia situation and postoperative development in both group.Results:Anesthesia degree and adverse reactions of A group were significantly lower than those of B group.Conclusion:The interscalene point method brachial plexus block has obvious ad-vantages in clavicle fracture surgery,and has less side effects,it is simple and convenient and has high anes-thesia rate.