针麻仪在臂丛神经阻滞中的应用  

Application of Electro-Acupuncture-Anesthesia Device in Brachiplex Nerve Blocking

作　　者：谢少锋[1] 王忱[1] 刘怀萍[1] 邱树彬[1] 

机构地区：[1]汕头大学医学院第二附属医院麻醉科,广东515041

出　　处：《中国中西医结合杂志》2006年第3期251-252,共2页Chinese Journal of Integrated Traditional and Western Medicine

摘　　要：目的探讨针麻仪辅助定位行臂丛神经阻滞的效果。方法120例上肢手术的患者随机分为两组,每组60例,两组均用0.375%布比卡因25ml行肌间沟臂丛神经阻滞。A组用针麻仪辅助定位,B组用异感方法定位。结果A组神经阻滞完全56例(93.3%),阻滞不全4例;B组神经阻滞完全46例(76.6%),阻滞不全9例,无效5例,神经阻滞成功率A组明显高于B组(P<0.01)。结论针麻仪辅助定位行臂丛神经阻滞比异感方法定位准确,阻滞成功率较高。Objective To investigate the effect of electro-acupuncture-anesthesia device （EAAD） as an auxiliary localizing method for brachiplex nerve blocking. Methods One hundred and twenty patients scheduled for operation in upper limbs were randomly divided into group A and group B, 60 in each group. Bupivacaine 25 ml （0. 375 % in concentration） was used to block intermuscular plexus braehialis in the operation for anesthesia and EAAD was used for adjunctive localizing in group A, while in group B paresthesia elieitation was used. Results In group A, the blocking was complete in 56 cases and incomplete in 4, the anesthesia effect was supe riot to that in group B, complete in 46, incomplete in 9, and of inefficient in 5 （ P 〈 0.01 ）. Conclusion EAAD provides a localizing method for plexus braehialis blocking more precise than paresthesia elicitation.

关 键 词：针麻仪定位 臂丛神经 阻滞麻醉 

分 类 号：R614[医药卫生—麻醉学]