颈臂丛神经阻滞在肱骨外科颈粉碎性骨折术中的应用  

Application of Plexus Cervicobrachialis Nerve Block for Comminuted Fracture of Collum Chirurgicum Humeri

作　　者：孙晓娟[1] 肖莉[1] 张洁[1] 罗镇国[1] 

机构地区：[1]西安市红十字会医院麻醉科,710054

出　　处：《美中国际创伤杂志》2007年第4期18-19,共2页U.S.Chinese International Journal of Traumatology

摘　　要：目的：针对与肱骨外科颈粉碎性骨折探索一种更切实可行，镇痛效果更加完善的神经阻滞方法。方法：选择ASAⅠ～Ⅱ级肱骨外科颈粉碎性骨折接受手术治疗的病人150例，随机分为2组：A组（n=75）麻醉采用常规单纯臂丛神经阻滞；B组（n=75）麻醉采用颈臂丛联合神经阻滞，观察患者的麻醉效果，镇痛强度，及出现并发症的机率。结果：B组麻醉发生阻滞不全者明显较A组少，两组均未见局麻药毒性反应和并发症。结论：肱骨外科颈粉碎性骨折手术采用颈臂丛联合神经阻滞麻醉效果优于单纯臂丛神经阻滞，镇痛更加完全，麻醉效果满意。Objective： To explore a more feasible method of nerve block for patients with comminuted fracture of collum chirurgicum humeri, nehtods： 150 ASA Ⅰ-Ⅱ cases of comminuted fracture of collum chirurgicum humeri were divided into two groups at random. 25 cases in each group, simple brachial plexus block was performed on group A patients and cervicobrachial plexus block was performed on group B patients. The anesthesia effects, side effects, and satisfaction degree were observed. Results： Incidence of incomplete nerve block in group B was lower than that of group A obviously. There was no toxic reaction or complications appeared. Conclusion： The anesthesia effect of cervicobrachial plexus block for patients with comminuted fracture of collum chirurgicum humeri is superior to that of simple brachial plexus block, and the analgesia intensity and effect is better.

关 键 词：肱骨外科颈粉碎性骨折 颈臂丛神经阻滞 臂丛神经阻滞 

分 类 号：R683.41[医药卫生—骨科学]