摘要
目的：探究上肢手术病人使用超声引导锁骨上臂丛神经阻滞的效果.方法：选取2013年1月-2015年1月来某院就诊的90例行上肢手术患者为研究对象,将其分成3组,分别为超导声1组,超导声2组与神经刺激器组.使用不同方式对患者进行麻醉阻滞,观察患者感觉阻滞效果、麻醉效果和并发症发生情况.结果：神经刺激器组有19例感觉阻滞完善,剩余11例感觉阻滞不全.超导声1组与超导声2组所有患者阻滞完善,组间数据存在统计学意义,P 〈0.05;超导声1组与2组麻醉效果无统计学意义存在,P 〉0.05;和神经刺激器组相比,超导声1组与超导声2组麻醉效果要好,组间数据存在统计学意义,P 〈0.05.结论：对于上肢手术患者,使用超声引导锁骨上臂丛神经阻滞,能够取得满意效果,值得推广应用.
Objective:To explore the effect of ultrasound guiding brachial plexus nerve blocking in upper limb surgery patients.Methods:Select 120 patients received upper limb surgery from January 2013 to Januar-y 2015 in a hospital as the research object,divide them into three groups,superconducting sound group 1, superconducting sound group 2 and nerve stimulator group.Using different methods to do sensory block to patients and observe the effect of sensory block,the effect of anesthesia and the complications of the patients with anesthesia.Results:Nerve stimulator group had 1 9 cases of perfect sensory block,the remaining 1 1 ca-ses felt incomplete block.All the patients in superconducting sound group 1 and superconducting sound group 2 were perfect sensory block,data between the groups had statistical significance,P<0.05.There was no significant difference in anesthesia effect between superconducting sound group 1 and superconducting sound group 2,P>0.05.The anesthesia effect of superconducting sound group 1 and superconducting sound group were better than that of nerve stimulator group,the difference was statistically significant,P<0.05.Conclu-sion:For patients with upper limb surgery,using ultrasound-guided supraclavicular brachial plexus blocking can achieve satisfactory effect,which is worth popularization and application.
出处
《数理医药学杂志》
2016年第4期485-487,共3页
Journal of Mathematical Medicine
关键词
超声检查
介入性
臂丛
神经传导阻滞
ultrasonography
interventional
brachial plexus
nerve block
