超声引导颈横突旁阻滞与颈浅丛复合臂丛阻滞在锁骨手术中的对比研究被引量：5

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摘要目的 :前瞻随机单盲方法比较超声引导下颈横突旁阻滞与颈浅丛复合肌间沟臂丛阻滞在锁骨手术中的神经阻滞效果和并发症发生率。方法:56例拟行锁骨手术患者,随机分为颈浅臂丛组和颈横突旁组:颈浅臂丛组肌间沟臂丛神经和颈浅丛各给予0.5%罗哌卡因5、7 m L;颈横突旁组颈3、颈4和颈5横突旁各给予0.5%罗哌卡因1、2、2 m L。比较两组麻醉操作时间、起效时间、维持时间、镇痛时间、神经阻滞效果和并发症发生率。结果:颈横突旁组阻滞起效时间显著短于颈浅臂丛组(P<0.01),神经阻滞效果也显著优于颈浅臂丛组(P<0.05),并发症比较无显著差异。结论 :在锁骨手术中,超声引导下使用小剂量0.5%罗哌卡因行C_3、C_4和C_5横突旁阻滞,神经阻滞效果及起效时间明显优于超声引导下颈浅丛复合肌间沟臂丛阻滞。

作者韩流王宏宇石莉鲍红光

机构地区南京医科大学附属南京医院麻醉科

出处《南京医科大学学报（自然科学版）》 CAS CSCD 北大核心 2016年第12期1544-1546,共3页 Journal of Nanjing Medical University(Natural Sciences)

基金南京市科技计划项目(201503025)

关键词颈浅丛臂丛横突旁阻滞超声罗哌卡因

分类号 R614 [医药卫生—麻醉学]

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