超声定位行锁骨下喙突入路臂丛神经麻醉的临床分析

Clinical Analysis of Ultrasonic Localization of Brachial Plexus Anesthesia With Subclavian Approach

目的探讨超声定位行锁骨下喙突入路臂丛神经麻醉的临床疗效。方法选取我院2014年3月—2016年9月收治的86例行前臂手术患者,将其随机分成两组,各43例,对照组行超声定位腋路臂丛神经麻醉,观察组行超声定位锁骨下喙突入路臂丛神经麻醉,对两组患者临床麻醉效果进行比较。结果观察组患者前臂内侧皮神经疼痛消失时间(5.12±0.81)min,小于对照组的(6.13±0.97)min(P<0.05);观察组桡神经痛觉消失时间(5.59±1.23)min,短于对照组的(8.13±1.58)min(P<0.05);观察组患者前臂内侧皮神经区域的痛觉完全阻滞率100.00%,优于对照组的86.05%(P<0.05)。结论超声定位行锁骨下喙突入路臂丛神经麻醉临床效果优良。

Objective To investigate the clinical effect of ultrasonic localization of brachial plexus anesthesia with subclavian approach.Methods From March 2014 to September 2016,86 patients with forearm surgery in our hospital were selected,they were randomly divided into two groups,43 cases in each group,control group was treated by ultrasonic localization of axillary brachial plexus anesthesia,observation group received ultrasonic localization of the subclavian approach and brachial plexus anesthesia,the clinical anesthetic effects of the two groups were compared.Results The pain disappeared time of forearm medial cutaneous nerve was（5.12±0.81） min in observation group,were less than that of the control group [（6.13±0.97） min]（P〈0.05）;The time of radial nerve pain disappeared in the observation group was（5.59±1.23） min,were shorter than the control group [（8.13±1.58） min]（P〈0.05）;The complete block of pain in the medial cutaneous nerve of the forearm in the observation group was 100%,were better than 86.05% in the control group（P〈0.05）.Conclusion The clinical effect of ultrasonic localization of brachial plexus nerve under the subclavian approach approach is excellent.