摘要
目的比较B超引导神经阻滞与传统神经阻滞在上肢神经阻滞麻醉中的效果。方法收集2016年5月～2018年2月在我院进行上肢手术的128患者作为观察对象,按照单双号法分为对照组(64例)和研究组(64例)。对照组选择盲探法臂丛神经阻滞麻醉,研究组选择B超引导下臂丛神经阻滞麻醉。比较两组的麻醉效果。结果研究组患者的麻醉优良率明显高于对照组,差异有统计学意义(P<0.05)。研究组的操作时间、药物起效耗时短于对照组,麻醉药物剂量少于对照组,镇痛维持时间长于对照组,两组比较,差异有统计学意义(P<0.05)。结论与传统神经阻滞比较,B超引导神经阻滞应用于上肢手术患者优势突出,可迅速起效,缩短操作时间,减少药物剂量,延长作用时间,值得临床选择和推广。
Objective To compare the effect of B-ultrasound guided nerve block and traditional nerve block in upper limb nerve block anesthesia.Methods A total of 128 patients given upper extremity surgery in our hospital from May 2016 to February 2018 were selected as observation objects and they were divided into the control group(n=64)and study group(n=64)according to odd or even number.In the control group,blind brachial plexus block anesthesia was selected,while in the study group,B-ultrasound guided brachial plexus block anesthesia was selected.The anesthetic effect between the two groups was compared.Results The excellent and good rate of anesthesia in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The operation time,drug onset time in the study group were shorter than those of the control group,and anesthetic drug dose was less than that of the control group,and the anesthesia maintenance time was longer than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Compared with the traditional nerve block,B-ultrasound guided nerve block is superior in patients with upper limb surgery.It can quickly take effect,shorten the operation time,reduce the dose f the drug,and prolong the action time,which is worthy of clinical selection and promotion.
作者
刘莉莉
郑秋武
LIU Li-li;ZHENG Qiu-wu(Department of Anesthesiology,the First Hospital of Putian City,Fujian Province,Putian 351100,China)
出处
《中国当代医药》
2019年第2期171-173,共3页
China Modern Medicine
关键词
上肢神经阻滞麻醉
传统神经阻滞
B超引导神经阻滞
Upper limb nerve block anesthesia
Traditional nerve block
B-ultrasound guided nerve block
