肌间沟联合腋路臂丛阻滞麻醉在前臂手术中的应用观察

Application observation of interscalene joint axillary brachial plexus block anesthesia in forearm surgery

目的:观察肌间沟联合腋路臂丛阻滞麻醉在前臂手术中的安全性和有效性。方法:选择ASA分级为Ⅰ~Ⅲ级行前臂手术的患者80例,随机分为肌间沟联合腋路组(C组)和肌间沟组(I组),每组40例。臂丛麻醉用药均为1%的利多卡因+0.5%罗哌卡因混合液。C组采用肌间沟注射药物15 m L,腋路注射药物15 m L;I组在肌间沟注射药物30m L。比较两组麻醉效果。结果:C组均在臂丛麻醉下完成手术,辅助镇痛药完成手术1例。I组改用全麻完成手术3例,复合镇痛药物完成手术8例。C组麻醉效果明显优于I组(Z=-2.748,P<0.01)。结论:肌间沟联合腋路臂丛阻滞麻醉用于前臂手术安全性较高,效果可靠。

Objective:To observe the safety and effectiveness of interscalene joint axillary brachial plexus block anesthesia in forearm surgery.Methods:80 cases of patient with ASA class Ⅰ~Ⅲ in forearm surgery were randomly divided into interscalene joint axillary group(group C) and interscalene group(group I),with 40 cases in each group.The brachial plexus anesthesia drugs were 1% lidocaine+1% ropivacaine mixture.Group C were injected 15 m L through interscalene and 15 m L through axillary;group I were injected 30 m L through interscalene.The anesthesia effect of the two groups were compared.Results:All of the group C adopted surgery under brachial plexus anesthesia,1 case finished operation with auxiliary analgesics.3 cases in group I switched to general anesthesia and 8 cases finished operation with compound analgesics.The anesthesia effect of group C was obviously better than that of group I(Z=2.748,P<0.01).Conclusion:Interscalene joint axillary brachial plexus block anesthesia applied in forearm surgery had better security and reliable effect.