锁骨骨折患者应用臂丛联合颈浅丛阻滞的麻醉价值研究

Study on anesthesia value of brachial plexus combined with superficial cervical plexus block in patients with clavicle fracture

目的探讨锁骨骨折患者应用臂丛联合颈浅丛阻滞的麻醉价值。方法选择2018年1月至2019年5月本院收治的锁骨骨折拟行切开复位内固定术患者68例,按照随机数表法分为对照组和观察组,各34例。对照组行臂丛神经阻滞,观察组行臂丛神经阻滞联合颈浅丛神经阻滞,比较两组麻醉效果及并发症情况。结果观察组麻醉有效率为94.11%,明显高于对照组的70.59%,差异有统计学意义(P<0.05);观察组HR、MAP水平均低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较差异无统计学意义。结论锁骨骨折患者行臂丛神经阻滞联合颈浅丛神经阻滞可全面覆盖支配锁骨的神经,提高麻醉效果,避免患者术中疼痛,从而提高手术效果,且可保障术中患者生命体征无剧烈波动。

Objective To investigate the anesthetic value of brachial plexus combined with superficial cervical plexus block in patients with clavicle fracture.Methods FromJanuary 2018 toMay 2019,68 patients with clavicle fracture undergoing open reduction and internal fixation were randomly divided into control group and observation group,with 34 cases in each group.Brachial plexus block was performed in the control group and brachial plexus block combined with superficial cervical plexus block was performed in the observation group.The anesthetic effects and complications of the two groups were compared.Results The effective rate of anesthesia in the observation group was 94.11%,which was significantly higher than that in the control group of 70.59%.The level of HR,MAP in the observation group were significantly lower than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in the rate of complications between the two groups.Conclusion Brachial plexus block combined with superficial cervical plexus block can completely cover the clavicle nerve,improve the anaesthesia effect and avoid intraoperative pain in patients with clavicle fracture and can ensure that the vital signs of patients during the operation do not fluctuate violently.