锁骨骨折内固定术三种麻醉方法的比较  

Comparison of Three Different Anaesthesias Methods Applying Clavicle Fracture Fixed Technique

作　　者：陈冰[1] 阳启茂[1] 

机构地区：[1]四川省人民医院,四川成都610072

出　　处：《实用医技杂志》2007年第10期1238-1239,共2页Journal of Practical Medical Techniques

摘　　要：目的:观察三种不同的麻醉方法用于锁骨骨折内固定术的临床效果。方法:随机将90例患者分为三组,Ⅰ组臂丛加颈浅丛神经联合阻滞;Ⅱ组臂丛神经阻滞;Ⅲ组颈浅丛神经阻滞。结果:对于骨折位于内1/3患者,Ⅰ组、Ⅲ组麻醉效果优于Ⅱ组;而对骨折位于外2/3患者,Ⅰ组麻醉效果明显优于其他两组。结论:对于骨折位于内1/3患者采用单纯颈浅丛神经阻滞,而对骨折位于外2/3患者采用颈浅丛神经阻滞加用同侧臂丛阻滞是一种较好的选择。Objective Observe three different anaesthesias methods to use in the clavicle fracture fixed technique clinical effect. Methods Ninty patients divide into three groups, Ⅰ group of brachial plexus block and superfiaial cervical plexus block; Ⅱ group of brachial plexus block ;Ⅲ group of superfiaial cervical plexus block. Results The clavicle fracture is located the inside 1/3 trouble, Ⅰ group and Ⅲ group of anaesthesia effect surpasses Ⅱ group. The clavicle fracture is located 2/3 trouble outside to the fracture, Ⅰ group of anaesthesias effects obviously surpass other two groups. Conclusion The fracture is located the inside 1/3 trouble,Uses superfiaial cervical plexus block,Is located 2/3 trouble outside to the fracture, Brachial plexus block and superfiaial cervical plexus block use for clavicle fracture fixation have good clinical result very jointly.

关 键 词：三种麻醉方法 锁骨骨折 临床效果 

分 类 号：R614.1[医药卫生—麻醉学]