超声引导定位与传统解剖定位行臂丛神经阻滞的临床麻醉效果研究

A comparative study on the clinical anesthesia effect of brachial plexus block guided by ultrasound and traditional anatomic localization

目的:探讨超声引导定位与传统解剖定位行臂丛神经阻滞的临床麻醉效果。方法:2017年1月-2019年1月收治需行上肢手术患者80例,随机分为两组,各40例。对照组采取传统解剖定位行臂丛神经阻滞麻醉,研究组在超声引导定位下行臂丛神经阻滞麻醉。比较两组麻醉效果及并发症发生情况。结果:研究组麻醉操作时间、麻醉起效时间均显著短于对照组,麻醉维持时间长于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:行臂丛神经阻滞麻醉时采取超声引导定位较传统解剖定位麻醉效果更优,可优先选择。

Objective:To explore the clinical anesthesia effect of brachial plexus block guided by ultrasound and traditional anatomic location.Methods:From January 2017 to January 2019,80 patients requiring upper extremity surgery were admitted,they were randomly divided into the two groups with 40 cases in each group.Brachial plexus block was performed with traditional anatomical localization in the control group.Brachial plexus block was performed in the study group under the guidance of ultrasound.The anesthesia effect and complications of the two groups were compared.Results:The operation time and the onset time of anesthesia in the study group were significantly shorter than those in the control group,the maintenance time of anesthesia was longer than that in the control group,and the incidence of complications was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Ultrasound-guided localization during brachial plexus block anesthesia is more effective than traditional anatomical localization and can be preferred.