摘要
目的探讨超声引导下肌间沟联合腋路臂丛神经阻滞的麻醉效果。方法方便选择2015年6月—2018年6月该院接受下肢手术治疗的60例患者作为研究对象,按照随机数字表法分为两组,每组30例,对照组采取传统体表定位方法进行肌间沟联合腋路臂丛神经阻滞,观察组在超声引导下进行肌间沟联合腋路臂丛神经阻滞,比较两组的穿刺情况、麻醉效果、阻滞起效时间、生命体征指标。结果观察组的一次穿刺成功率为93.33%,高于对照组的73.33%(χ^2=4.320,P<0.05)。观察组的单次穿刺时间、穿刺次数分别为(59.85±8.31)s、(1.27±0.54)次,均少于对照组的(72.41±12.97)s、(2.06±0.82)次(t=4.466、4.407,P<0.05)。麻醉优良率观察组为96.67%,高于对照组的80.00%(χ^2=4.043,P<0.05)。观察组的感觉阻滞起效时间、运动阻滞起效时间分别为(41.06±5.47)s、(154.49±21.52)s,均短于对照组的(48.57±6.98)s、(131.57±17.43)s(t=4.638、4.533,P<0.05)。观察组麻醉前后的平均动脉压、心率比较均差异无统计学意义(t=0.203、0.212,P>0.05),对照组麻醉前后的平均动脉压、心率比较也差异无统计学意义(t=0.255、0.170,P>0.05);麻醉前组间平均动脉压、心率比较均差异无统计学意义(t=0.113、0.047,P>0.05),麻醉后组间平均动脉压、心率比较均差异无统计学意义(t=0.064、0.087,P>0.05)。结论在超声引导下进行肌间沟联合腋路臂丛神经阻滞的定位更加准确,其麻醉效果更好。
Objective To investigate the anesthetic effect of ultrasound-guided intermuscular sulcus combined with sacral brachial plexus block.Methods Convenient select sixty patients who underwent lower extremity surgery in the hospital from June 2015 to June 2018 were enrolled in the study.They were divided into two groups according to the random number table method,30 cases in each group.The control group was subjected to traditional body surface localization intermuscular sulcus combined with sacral brachial plexus block,the observation group underwent ultrasound-guided intermuscular sulcus combined with sacral brachial plexus block,comparing the puncture,anesthesia effect,block onset time,vital signs.Results The success rate of one puncture in the observation group was 93.33%,which was higher than that in the control group 73.33%(χ^2=4.320,P<0.05).The single puncture time and puncture frequency of the observation group were(59.85±8.31)s and(1.27±0.54)times,respectively,which were less than(72.41±12.97)s and(2.06±0.82)times of the control group(t=4.466,4.407,P<0.05).The excellent rate of anesthesia was 96.67%in the observation group,which was higher than 80.00%in the control group(χ^2=4.043,P<0.05).The onset time of the sensory block and the onset time of the motor block were(41.06±5.47)s and(154.49±21.52)s,respectively,which were shorter than the control group(48.57±6.98)s,(131.57±17.43)s(t=4.638,4.533,P<0.05).There was no significant difference in mean arterial pressure and heart rate between the observation group before and after anesthesia(t=0.203,0.212,P>0.05).There was no statistically significant difference in mean arterial pressure and heart rate between the control group before and after anesthesia(t=0.255,0.170,P>0.05);there was no statistically significant difference in mean arterial pressure and heart rate between the groups before anesthesia(t=0.113,0.047,P>0.05).There was no statistically significant difference in mean arterial pressure and heart rate between the groups after anesthesia(t=0.064,0.087,P>0.05).Conclusion Ultrasound-guided intermuscular sulcus combined with sacral brachial plexus block is more accurate and its anesthetic effect is better.
作者
孙红芳
SUN Hong-fang(Department of Anesthesiology,Wuxi Second Hospital of Traditional Chinese Medicine,Wuxi,Jiangsu Province,214121 China)
出处
《中外医疗》
2019年第36期85-87,共3页
China & Foreign Medical Treatment
关键词
上肢手术
麻醉
肌间沟
腋路
臂丛神经阻滞
超声引导
Upper limb surgery
Anesthesia
Intermuscular sulcus
Sacral approach
Brachial plexus block
Ultrasound guidance
