摘要
目的分析超声可视下肌间沟联合腋路臂丛神经阻滞的麻醉效果优势。方法采取电脑随机分组法将方便选取的2016年8月—2018年8月该院接诊臂丛麻醉下行上肢手术患者90例进行分组,常规组42例给予单纯肌间沟臂丛阻滞,研究组48例给予肌间沟联合腋路臂丛神经阻滞,腋路根据尺神经、正中神经以及桡神经阻滞。分别对两组的神经阻滞情况、麻醉效果和运动阻滞程度进行对比。结果研究组神经和运动阻滞情况优于常规组,差异有统计学意义(P<0.05)。研究组的并发症发生率为0.00%,比常规组的7.14%低,差异有统计学意义(χ~2=7.404 3,P<0.05)。研究组的麻醉总有效率为97.92%,比常规组的85.71%高,差异有统计学意义(χ~2=4.649 9,P<0.05)。结论对上肢手术患者运用肌间沟联合腋路臂丛神经阻滞,能够有效提升麻醉效果,减少不良反应。
Objective To analyze the advantages of anesthesia in the treatme nt of intermuscular sulcus combined with sacral brachial plexus block. Methods Computer random grouping will in August 2016 to August 2018, the hospital accepts brachial plexus anesthesia downlink upper extremity surgery patients, 90 cases were convenient selected and grouped, 42 cases were given routine group between muscle sulcus brachial plexus block, the team of 48 cases with muscle between groove joint axillary brachial plexus block road, axillary way according to the ulnar nerve and median nerve, radial nerve block. Nerve block, anesthetic effect and motor block were compared between the two groups. Results Nerve and motor block in the study group was superior to the conventional group,the difference was statistically significant(P<0.05). The incidence of complications in the study group was 0.00%, lower than the normal group of 7.14%,the difference was statistically significant(χ^2=7.404 3, P<0.05). The total effective rate of anesthesia in the study group was 97.92%, higher than 85.71% in the conventional group,the difference was statistically significant(χ^2=4.649 9, P<0.05). Conclusion The application of intermuscular sulcus combined with axillary brachial plexus nerve block in upper limb surgery patients can effectively improve the anesthetic effect and reduce adverse reaction.
作者
张再旭
ZHANG Zai-xu(Department of Anesthesiology, Yong'an Municipal Hospital, Yongan, Fujian Province, 366000 China)
出处
《中外医疗》
2019年第10期173-175,共3页
China & Foreign Medical Treatment
关键词
超声可视下
肌间沟
腋路
臂丛神经阻滞
Ultrasound visible
Intermuscular groove
Kushiro
Brachial plexus block
