摘要
目的:探究上肢神经阻滞麻醉中应用B超引导神经阻滞的临床效果。方法:选取2022年1月—2023年1月武警四川总队医院收治的上肢手术患者72例为研究对象,采用“双盲法”分为盲探组(盲探臂丛神经阻滞)和超声组(B超引导神经阻滞),各36例。比较两组血流动力学指标、麻醉时间、麻醉效果、不良反应发生率。结果:麻醉后,两组舒张压、收缩压、心率及平均动脉压水平均降低,超声组优于盲探组,差异有统计学意义(P<0.001);超声组运动阻滞及感觉阻滞起效时间短于盲探组,有效时长长于盲探组,差异有统计学意义(P<0.001);超声组麻醉优良率高于盲探组,差异有统计学意义(P=0.047);超声组不良反应发生率低于盲探组,差异有统计学意义(P=0.041)。结论:B超引导神经阻滞可稳定上肢手术患者的血流动力学指标,缩短运动及感觉阻滞起效时间,延长有效时长并提高麻醉效果,降低不良反应发生率。
Objective:To investigate the clinical effect of applying ultrasound-guided nerve block in upper limb nerve block anes⁃thesia.Methods:72 cases of upper limb surgery patients admitted to the Armed Police Sichuan General Hospital from January 2022 to January 2023 were selected for the study,and were divided into a blind probe group(blind probe brachial plexus nerve block)and an ultrasound group(ultrasound-guided nerve block)by using the"double-blind method",with 36 cases in each group.The hemodynamic indexes,anesthesia time,anesthesia effect and incidence of adverse reactions were compared between the two groups.Results:After anesthesia,diastolic blood pressure,systolic blood pressure,heart rate and mean arterial pressure levels were reduced in both groups,and the ultrasound group was better than the blind probe group,with a statistically significant difference(P<0.001);the onset time of motor and sensory blocks in the ultrasound group was shorter than that of the blind probe group,and the effective duration was longer than that of the blind probe group,with a statistically significant difference(P<0.001);the rate of anesthesia excellence in the ultrasound group was higher than that in the blind probe group,with a statistically signifi⁃cant difference(P=0.047);the incidence of adverse reactions in the ultrasound group was lower than that in the blind probe group,and the difference was statistically significant(P=0.041).Conclusion:Ultrasound-guided nerve block can stabilize hemodynamic indexes,shorten the onset time of motor and sensory block,prolong the effective duration and improve anesthetic effect,and re⁃duce the incidence of adverse reactions in patients with upper limb surgery.
作者
赵辉
Zhao Hui(Department of Anesthesiology,Sichuan General Hospital of Armed Police,Leshan 614000,Sichuan Province,China)
出处
《中外医药研究》
2023年第13期46-48,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
B超
神经阻滞麻醉
上肢手术
血流动力学
麻醉效果
不良反应
Ultrasound
Nerve block anesthesia
Upper extremity surgery
Hemodynamics
Anesthesia effect
Adverse reaction