摘要
目的探讨臂丛神经阻滞+肋间臂神经阻滞在肱骨外科颈手术中的临床效果。方法将该院收治的需要进行肱骨外科颈手术的患者100例,随机分为治疗组和对照组,每组有患者50例,治疗组患者麻醉方式选择臂丛神经阻滞+肋间臂神经阻滞,而对对照组患者进行臂丛神经阻滞的麻醉方式,然后对两组患者手术中不同时间段疼痛以疼痛划线记录法进行评分,主要记录患者在手术开始、手术1 h候后、手术2 h候以及手术结束时候。结果对照组患者在手术中有23例需另行添加静脉镇痛药,5例需要改为全麻醉。而治疗组患者的麻醉效果良好,手术能够顺利完成。在手术的各个时间段内治疗组患者的疼痛记录评分都比对照组患者的低,差异有统计学意义(P<0.05)。结论在巩固外科颈手术的中臂丛神经阻滞+肋间壁神经阻滞的麻醉效果显著,可以临床治疗上进行广泛的推广。
Objective To investigate the clinical effect of brachial plexus block and intercostal nerve block applied to surgical neck of humerus. Methods 100 patients needing surgical neck of humerus admitted in our hospital from June, 2011 to June, 2012were randomly divided into treatment group and control group, each group had 50 patients. The patients in the treatment group chose brachial plexus block plus intercostal nerve block and patients in the control group were treated with brachial plexus block.Then the pain level at different times during the operation was evaluated by visual analogue scale, mainly recording the pain level at the beginning of the operation, 1h after the operation, 2h after the operation and at the end of the operation. Results Of the patients in the control group, 23 cases needed to add intravenous analgesics in operation, 5 cases needed to be changed to general anaesthesia, while the anesthesia effect of the patients in treatment group was good, and the operation was completed successfully,and the recorded pain score at each time segment during the operation was lower than that of the patients in the control group（P〈0.05）. Conclusion The anesthetic effect of brachial plexus block plus intercostal nerve block applied in surgical neck of humerus is significant, which can be extensively promoted in clinical treatment.
出处
《中外医疗》
2014年第18期43-44,共2页
China & Foreign Medical Treatment
关键词
臂丛神经阻滞
肋间臂神经阻滞
巩固外科
临床效果
Brachial plexus block
Intercostal nerve block
The consolidation of surgery
Clinical effect
