连续臂丛神经阻滞镇痛对断指再植术后血管危象的影响分析

Analysis of the Effect of Continuous Brachial Plexus Block Analgesia on Vascular Crisis After Replantation of Severed Fingers

目的分析连续臂丛神经阻滞镇痛对断指再植术后血管危象的影响。方法选取中山市人民医院2016年3月—2018年11月收治的94例行断指再植术治疗患者为研究对象,根据不同术后镇痛方式将其分成观察组与对照组,每组各47例。对照组行静脉镇痛,观察组行连续臂丛神经阻滞镇痛,比较两组的麻醉效果。结果观察组术后疼痛评分明显低于对照组,健侧和患侧皮肤温差明显小于对照组,术后血管危象发生率(6.38%)低于对照组(25.53%),断指再植成活率和血氧饱和度水平高于对照组(P<0.05)。结论术后对断指再植术患者行连续臂丛神经阻滞镇痛可有效维持血运水平稳定,提高镇痛效果,降低健侧和患侧温差,降低术后血管危象发生风险,提升断指再植成活率。

Objective To analyze the effect of continuous brachial plexus block analgesia on vascular crisis after finger replantation.Methods 94 patients treated with severed finger replantation in the hospital from March,2016 to November,2018 were divided into 47 cases in observation group and control group according to different postoperative analgesia methods.The control group performed intravenous analgesia, and the observation group performed continuous brachial plexus nerve block analgesia.Analgesia effects of two groups were compared Results The postoperative pain score was significantly lower than the control group.The temperature difference between the healthy side and the affected side skin was significantly lower than that of the control group.The postoperative vascular risk rate(6.38%)was lower than that of the control group(25.53%).The survival rate and blood oxygen saturation level of finger replantation were higher than that of control group(P<0.05).Conclusion Continuous brachial plexus nerve block analgesia can effectively maintain blood transport stability,improve analgesic effect,reduce the temperature difference between healthy side and affected side,reduce the risk of vascular crisis after operation,and improve the survival rate of finger replantation.