全身麻醉复合臂丛神经阻滞麻醉在肩关节镜手术患者中的应用效果

Application effect of general anesthesia combined with brachial plexus block anesthesia in patients undergoing shoulder arthroscopic surgery

目的:探究全身麻醉复合臂丛神经阻滞麻醉在肩关节镜手术患者中的应用效果。方法:收集2022年5月至2023年12月期间本院收治的80例行肩关节镜手术患者的临床资料,根据麻醉方案的差异将患者分为对照组(予以全身麻醉,n=39)与观察组(予以臂丛神经阻滞麻醉+全身麻醉,n=41)。患者完成手术后观察其麻醉效果,通过口述疼痛分级评分法(Visual analogue scale,VAS)评估疼痛程度,并在围手术期应用心电监护器检测血流动力学及统计在次期间所出现的不良反应发生情况。结果:观察组术后完全苏醒时间、拔管时间均显著短于对照组(P<0.05)。与术前相比较,各治疗组的收缩压、舒张压、心率、VAS评分均降低(P<0.05),其中观察组更为显著(P<0.05)。观察组的不良反应总发生率显著低于对照组(P<0.05)。结论:全身麻醉复合臂丛神经阻滞麻醉应用于肩关节镜手术中,能提高麻醉效果及镇痛效果,改善血流动力学,减少不良反应。

Objective:To explore the application effect of general anesthesia combined with brachial plexus block anesthesia in patients undergoing shoulder arthroscopic surgery.Methods:The clinical data of 80 patients who underwent shoulder arthroscopy in our hospital from May 2022 to December 2023 were collected.The patients were divided into a control group(n=39)and an observation group(n=41)based on the difference in anesthesia schemes,with general anesthesia for the control group and brachial plexus block combined with general anesthesia for the observation group.After the patient completes the surgery,observe its anesthesia effect and assess the pain level by the oral description of the Visual analogue scale(VAS).During the perioperative period,use an electrocardiogram monitor to detect hemodynamic changes and statistically analyze adverse reactions that occurred during this period.Results:The observation group exhibited a significantly shorter postoperative recovery time and extubation time compared to the control group(P<0.05).Compared with the pre-operative period,systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate,and VAS score in all treatment groups decreased(P<0.05).The decrease was more significant in the observation group(P<0.05).The total incidence of adverse reactions in the observation group was significantly lower than in the control group(P<0.05).Conclusion:General anesthesia combined with brachial plexus block in shoulder arthroscopy surgery improves the anesthetic and analgesic effects,improves hemodynamics,and reduces adverse reactions.