超声引导下神经阻滞在小儿上肢手术麻醉中的应用

Application of Ultrasound-guided Nerve Block in Pediatric Upper Limb Surgery

目的探讨超声引导下神经阻滞在小儿上肢手术麻醉中的应用价值。方法选取2019年10月至2020年6月于福建医科大学附属厦门弘爱医院行上肢手术治疗的86例患儿,采用随机数字表法分为对照组和试验组,各43例。对照组实施常规神经阻滞,试验组实施超声引导下神经阻滞,比较两组麻醉药物用量、神经阻滞时间、术后苏醒时间及并发症发生情况。结果试验组麻醉药物用量少于对照组,神经阻滞时间、术后苏醒时间均短于对照组,差异有统计学意义(P<0.05);试验组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论超声引导下神经阻滞在小儿上肢手术麻醉中的应用效果明显,且安全性较高。

Objective To investigate the application value of ultrasound-guided nerve block in pediatric upper limb anesthesia.Methods A total of 86 children who underwent upper limb surgery in Xiamen Hongai Hospital Affiliated to Fujian Medical University from October 2019 to June 2020 were selected and divided into control group and experimental group by random number table method,with 43 cases in each group.The control group received conventional nerve block,and the experimental group received ultrasound-guided nerve block.The dosage of anesthetic drugs,nerve block time,postoperative recovery time and complications were compared between the two groups.Results The dosage of anesthetic in the experimental group was less than that in the control group,and the nerve block time and postoperative recovery time were shorter than those in the control group,the difference was statistically significant(P<0.05);The incidence of complications in the experimental group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of ultrasound-guided nerve block in pediatric upper limb surgery has obvious effect and higher safety.