摘要
目的:比较肌间沟异感法和神经刺激仪引导下用于老年患者行肌间沟臂丛神经阻滞的麻醉效果。方法:选择拟行择期上肢手术老年患者60例,ASA分级均为Ⅰ～Ⅱ级,随机分为两组,每组30例,A组在周围神经刺激仪引导下进行定位操作行肌间沟臂丛阻滞;B组按常规找异感方法实施肌间沟臂丛阻滞,两组局麻药均为0.25%罗哌卡因30mL。观察和记录两组患者阻滞操作时间、阻滞起效时间、麻醉效果(VAS评分)和不良反应。结果:A组阻滞操作时间明显短于B组(P<0.01),麻醉效果(VAS评分)明显优于B组(P<0.01),并且不良反应也低于B组。结论:神经刺激仪引导下行肌间沟臂丛神经阻滞用于老年患者定位准确,成功率高,麻醉效果好,不良反应少,值得在临床上推广。
Objective ：To compare the clinical outcomes of interscalene brachial plexus block performed by nerve stimula- tor guidance with conventional technique in the aged. Methods：Sixty patients（ ASA Ⅰ- Ⅱ ） scheduled in aged for inter- scalene brachial plexus block were randomly divided into two groups with 30 cases each. Group A was guided by nerve stimulator and Group B was guided by exceptional feeling. Anaesthetic drug was 30 ml of 0.25% ropivacaine. The time of block operation and effect starting, clinical outcomes （VAS） and untoward effect were recorded. Results：The time of block operation was much shorter in group A than in group B. The successful rate of interscalene brachial plexus block was significantly higher in group A than in group B. Untoward effect was decreased in group A. Conclusion：Interscalene braehial plexus block guided by nerve stimulator in the aged is better than conventional technique in accuracy, successful rate, effectiveness of anaesthesia and untoward effect. It is worth promoting.
出处
《赣南医学院学报》
2010年第4期574-575,共2页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
