臂丛神经阻滞3种定位方法的效果观察及护理配合

The effect observation and nursing cooperation of three kinds of positioning of brachial plexus block

目的:探讨臂丛神经阻滞3种定位方法的临床效果及护理配合。方法:选择102例拟行上肢手术的患者并随机等分为3组,对3组患者进行臂丛神经阻滞分别采用B超定位、神经刺激仪定位和传统盲探定位。比较3组患者麻醉起效时间、麻醉效果及并发症的发生。结果:B超引导组患者的神经阻滞起效时间短于神经刺激仪定位组和传统盲探定位组患者,组间比较差异具有统计学意义(P<0.05)。B超引导组患者的麻醉效果优于其他两组,组间比较差异具有统计学意义(P<0.05)。结论:B超定位引导下臂丛神经阻滞在起效时间短,麻醉效果好,且并发症少。

Objective： To explore the clinical effect and nursing cooperation of three kinds of positioning methods of brachial plexus block. Methods： Selected102 cases patients of upper extremity surgery and divided them into three groups at random. The B- scan ultrasonography positioning,neurostimulator positioning and traditional blind detective location were had respectively in brachial plexus block of three groups patients. The onset time of anesthesia,anesthesia effect and complication occurrence of three groups were compared. Results： The nerve block onset time of patients in B- scan ultrasonography direct group was shorter than neurostimulator positioning group and traditional blind detective location group. The comparison difference among groups was of statistic significance（ P〈 0. 05）. The anesthesia effect of B- scan ultrasonography direct group patients was better than other two groups,the comparison difference among groups was of statistic significance（ P 〈0. 05）. Conclusion： Under the guidance of B- scan ultrasonography positioning,the onset time of brachial plexus block was short,its anesthesia effect was good and its complication was less.