超声引导下臂丛神经阻滞麻醉的临床效果观察

Observation of the Clinical Effect of Ultrasound-Guided Block Anesthesia of the Lower Brachial Plexus

目的:研究超声引导下臂丛神经阻滞麻醉的临床应用效果。方法:选取本院于2017年1月~2019年10月使用超声引导下臂丛神经阻滞麻醉的患者32例,归入观察组。选取同期运用传统解剖定位实施麻醉的患者21例,归入对照组。比较两种麻醉方式的起效时间、阵痛持续时间、麻醉效果及并发症情况。结果:对照组麻醉起效时间为(6.77±1.31)min,麻醉阵痛持续时间为(9.47±2.21)min,均高于观察组麻醉起效时间(3.45±1.18)min,麻醉阵痛持续时间(7.05±2.06)min,P<0.05,有统计学意义。观察组麻醉优良率为87.50%显著优于对照组的麻醉优良率76.19%,对比差异显著,P<0.05,有统计学意义。结论:超声引导下臂丛神经阻滞麻醉的临床阵痛持续时间更短,麻醉起效快,麻醉后并发症发生率低。

Objective:To study the clinical effect of ultrasound-guided brachial plexus block anesthesia.Methods:32 patients who underwent ultrasound-guided lower brachial plexus block anesthesia in our hospital from January 2017 to October 2019 were selected and classified into the observation group.31 patients who underwent anesthesia using traditional anatomical positioning during the same period were selected and included in the control group.Compare the onset time,duration of labor pain,anesthesia effect and complications of the two anesthesia methods.Results:The onset time of anaesthesia in the control group was(6.77±1.31)min,and the duration of anaesthesia labor was(9.47±2.21)min,both of which were higher than that in the observation group(3.45±1.18)min,and the duration of anaesthesia labor was(7.05±2.06)min,and the P<0.05 was statistically significant.The excellent and good rate of anesthesia in the observation group was 87.50%,which was significantly better than that in the control group(76.19%),and the difference was significant(P<0.05,statistically significant).Conclusion:Ultrasound guided brachial plexus block anesthesia has a shorter duration of clinical labor,a faster onset of anesthesia,and a lower incidence of complications after anesthesia.