超声引导定位与传统解剖定位行臂丛神经阻滞的麻醉效果对比分析

Comparitive Analysis on Anesthetic Effects Of Ultrasound Guided Localization and Traditional Anatomic Localization of Brachial Plexus Block

目的对超声引导定位与传统解剖定位行臂丛神经阻滞的麻醉效果进行对比分析。方法整群选取2014年6月—2015年7月在该院拟行上肢手术的患者84例,按照随机数字表法将患者分为两组:观察组和对照组,每组各42例,其中观察组给予超声引导定位行臂丛神经阻滞麻醉,对照组给予传统解剖定位行臂丛神经阻滞麻醉。对比分析两组患者的麻醉效果。结果观察组患者麻醉完成时间(3.2±2.1)min、起效时间(3.5±2.4)min、阻滞效果(2.8±0.5)分,均明显优于对照组,差异有统计学意义(P﹤0.05);其中观察组患者出现2例霍纳综合征,对照组出现3例刺破血管,5例霍纳综合征,两组患者差异有统计学意义。结论超声引导定位行臂丛神经阻滞麻醉效果显著,不良反应和并发症发生少,具有较高的安全性。

Objective To compare and analyze the anesthetic effects of ultrasound guided localization and traditional anatomic localization of brachial plexus block. Methods 84 cases of patients planning to receive upper limb surgery in our hospital from June 2014 to July 2015 were selected and randomly divided into observation group and control group with 42 cases in each, the observation group were given ultrasound guided localization of brachial plexus block, the control group were given traditional anatomic localization of brachial plexus block, the anesthetic effects of the two groups were compared and analyzed. Results The anesthetic completion time（3.2±2.1）min, Onset time（3.5±2.4）min, blockage effect（2.8±0.5）points in the observation group were obviously better than those in the control group, and the difference was statistically significant（P﹤0.05）, there were 2 cases with Horner＇s syndrome in the observation group, there were 3 cases with puncture blood vessel,5 cases with Horner＇s syndrome in the control group, and the difference of the two groups was statistically significant. Conclusion Ultrasound guided localization of brachial plexus block has an obvious effect and few adverse reactions and complications with higher security.