超声引导下单穿刺点臂丛颈丛联合阻滞在锁骨骨折内固定中的应用

Application of ultrasound-guided single puncture point brachial plexus and cervical plexus combined block in internal fixation of clavicle fracture

目的:探索超声引导下单穿刺点臂丛颈丛联合阻滞在锁骨骨折内固定中的效果。方法:收治行锁骨骨折内固定患者80例,随机分为对照组和观察组。观察组采用超声引导单刺点穿刺,对照组采用常规盲探臂丛神经穿刺,比较两组麻醉效果和不良反应发生率。结果:观察组麻醉镇痛效果(VAS)评分、穿刺操作时间和麻醉起效时间明显优于对照组(P<0.05)。结论:超声引导下单穿刺点臂丛颈丛联合阻滞在锁骨骨折内固定中的效果显著。

Objective：To explore the application effect of ultrasound-guided single puncture point brachial plexus and cervical plexus combined block in internal fixation of clavicle fracture.Methods：80 patients with internal fixation of clavicle fracture were selected.They were randomly divided into the control group and the observation group.The observation group was treated with ultrasound-guided single puncture point puncture.The control group was treated with conventional blind brachial plexus puncture.We compared the anesthetic effect and incidence of adverse reactions between groups.Results：The anesthetic analgesic effect（VAS） score,the operation time and the onset time of anesthesia in the observation group were significantly better than those in the control group（P〈0.05）.Conclusion：The application effect of ultrasound-guided single puncture point brachial plexus and cervical plexus combined block in internal fixation of clavicle fracture was significant.