摘要
目的探讨超声引导下臂丛神经阻滞麻醉在上肢手术中的麻醉效果。方法纳入2019年10月—2022年10月在连云港市中医院麻醉科就诊的上肢手术患者100例作为研究对象,按入院顺序编号后随机分为固定解剖定位臂丛神经麻醉阻滞组(对照组)和超声引导下行臂丛神经阻滞麻醉组(研究组),每组50例。两组均进行肌间沟臂丛神经阻滞,上臂内侧、肘部及以下的手术加腋路及锁骨上路臂丛神经阻滞。比较两组患者麻醉效果、麻醉相关指标、术后疼痛程度及不良反应发生情况。结果与对照组的麻醉优良率(64.00%)比较,研究组的94.00%更优,差异有统计学意义(χ^(2)=13.562,P<0.001)。研究组麻醉起效时间及麻醉完成时间更短,麻醉持续时间更长,差异有统计学意义(P<0.05)。研究组不良反应发生率为4.00%,显著低于对照组的20.00%,差异有统计学意义(χ^(2)=6.061,P=0.014)。结论超声引导下臂丛神经阻滞在上肢手术中的麻醉效果显著,可显著降低患者术后不良反应发生率,提高临床麻醉维持时间。
Objective To explore the anesthesia effect of ultrasound-guided brachial plexus block anesthesia in upper limb surgery.Methods A total of 100 patients undergoing upper limb surgery who were treated in the Department of Anesthesiology,Lianyungang Hospital of Traditional Chinese Medicine from October 2019 to October 2022 were included as the study subjects.They were randomly divided into fixed anatomical brachial plexus anesthesia block group(control group)and ultrasound-guided brachial plexus block anesthesia group(study group)according to the order of admission,with 50 cases in each group.Both groups underwent interscalene brachial plexus block,and surgery on the medial upper arm,elbow and below plus axillary and supraclavicular brachial plexus block.The anesthesia effect,anesthesia-related indicators,postoperative pain degree and adverse reactions were compared between the two groups.Results Compared with the control group's excellent anesthesia rate(64.00%),the study group's 94.00% was better,the difference was statistically significant(χ^(2)=13.562,P<0.001).The study group had shorter onset time and completion time of anesthesia,and longer duration of anesthesia,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the study group was 4.00%,significantly lower than the control group's 20.00%,the difference was statistically significant(χ^(2)=6.061,P=0.014).Conclusion Ultrasound-guided brachial plexus block has a significant anesthesia effect in upper limb surgery,can significantly reduce the incidence of postoperative adverse reactions,and improve the maintenance time of clinical anesthesia.
作者
唐巧
王睿
刘萍
闫昱霖
于仲君
TANG Qiao;WANG Rui;LIU Ping;YAN Yulin;YU Zhongjun(Department of Anesthesiology,Lianyungang Hospital of Traditional Chinese Medicine,Lianyungang,Jiangsu Province,222001 China)
出处
《世界复合医学》
2023年第3期116-119,共4页
World Journal of Complex Medicine
关键词
超声引导
臂丛神经阻滞
麻醉效果
上肢手术
Ultrasound guidance
Brachial plexus block
Anesthesia effect
Upper limb surgery
