两种臂丛麻醉方式在急诊小儿手外伤手术中的应用比较  

Comparison of two kinds of brachial plexus anesthesia used in emergency treatment of pediatric hand trauma

作　　者：符紫艺[1] 刘永宏[1] 黄建忠[1] 韩全国[1] 邱志建[1] 黄粱淘[1] 

机构地区：[1]广东医学院附属厚街医院麻醉科,东莞523000

出　　处：《中国现代药物应用》2014年第12期16-18,共3页Chinese Journal of Modern Drug Application

摘　　要：目的对比分析臂丛肌间沟两点法阻滞麻醉和臂丛腋路两点法阻滞麻醉在急诊小儿手外伤手术中的应用价值。方法急诊就诊拟行手外伤手术的儿童88例,按照随机数字表法分为肌间沟组和腋路组,每组44例。肌间沟组采用臂丛肌间沟两点法进行阻滞麻醉,腋路组采用臂丛腋路两点法进行阻滞麻醉。对两组患儿麻醉参数、麻醉效果和不良反应进行统计分析。结果腋路组操作时间、起效时间和完全阻滞时间明显优于肌间沟组(P<0.05);腋路组麻醉有效率95.45%较之肌间沟组患儿93.18%(P>0.05);腋路组不良反应发生率为4.55%明显低于肌间沟组的18.18%(P<0.05)。结论臂丛腋路两点法阻滞麻醉在急诊小儿手外伤手术中的不良反应发生率低,能达到急诊小儿麻醉快速、安全的要求。Objective To comparatively analyze the application value of brachial plexus block anesthesia of two-point method and axillary two-point method of block anesthesia in the treatment of pediatric hand trauma. Methods Chose 88 cases of children with hand injury operation in Emergency Department of our hospital. Randomly divided them into interscalene group and axillary group, 44 cases for each group, interscalene group for block anesthesia with brachial plexus interscalene two-point method, axillary group for brachial plexus block anesthesia with axillary two-point method. Statistical analysis was performed on the anesthesia parameters, anesthetic effects and adverse reaction of two groups. Results The axillary group with operation time, onset time and complete block time significantly better than interscalene group（P〈0.05）; the efficiency of axillary group was 95.45% compared with interscalene group 93.18%（P〉0.05）; the incidence of adverse reactions of axillary group 4.55% significantly lower than the interscalene group 18.18%（P〈0.05）. Conclusion The adverse reaction of axiUary brachial plexus block anesthesia of two-point method has a low adverse effect rate in the emergency treatment of pediatric hand injury safely and quickly.

关 键 词：臂丛肌间沟两点法 臂丛腋路两点法 手外伤手术 儿童 

分 类 号：R726.1[医药卫生—儿科]