超声定位在臂丛神经阻滞麻醉中的应用效果分析  

Ultrasound in brachial plexus block anesthesia application effect analysis

作　　者：杨明德[1] 于燕[1] 

机构地区：[1]潍坊市益都中心医院麻醉科,山东省潍坊262500

出　　处：《中国基层医药》2015年第10期1552-1554,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨超声定位在肌间沟臂丛神经阻滞麻醉中的应用效果及安全性。方法选择上肢骨科手术患者100例，根据肌间沟臂丛神经定位方法的不同分为对照组和观察组，每组50例。对照组选择传统手法解剖学定位，观察组采用超声引导下肌间沟臂丛神经阻滞，比较两组麻醉效果、阻滞成功率及并发症发生情况。结果观察组阻滞操作时间、麻醉起效时间、镇痛持续时间及麻醉药品用量分别为（185．5±24．86）s、（11．55±2．89）min、（11．42±2．39）min、（17．25±2．54）mL，对照组分别为（228．75±26．20）s，（16．05±4．66）min、（10．95±2．83）min、（19．50±2．79）mL，两组差异均有统计学意义（t ＝18．34、10．28、9．72、10．68，均P ＜0．05）；观察组麻醉成功率为98％，明显高于对照组的88％，两组差异有统计学意义（χ2＝9．12，P ＜0.05）；观察组并发症发生率为0，对照组为8％，两组并发症发生率差异有统计学意义（χ2＝8．34，P ＜0．05）。结论超声定位肌间沟臂丛神经阻滞麻醉具有良好的临床效果，安全性高，值得推广应用。Objective To explore the application effect and safety of ultrasonic location in interscalene bra-chial plexus block anesthesia.Methods 100 cases with upper extremity orthopedic surgery patients were selected, according to the brachial plexus between the different positioning methods,they were divided into control group and observation group,50 cases in each group,the control group chose the traditional anatomical localization techniques, observation group interscalene under ultrasound guidance brachial plexus block,two groups of anesthesia were com-pared,block success rates and complications were observed.Results The block operation time,anesthesia onset time,duration of analgesia and anesthesia drug dosage of the observation group were （185.5 ±24.86）s,（11.55 ± 2.89）min,（11.42 ±2.39）min,（17.25 ±2.54）mL while the control group were （228.75 ±26.20）s,（16.05 ±4.66）min,（10.95 ±2.83）min,（19.50 ±2.79）mL,there was significant difference between two groups（t =18.34, 10.28,9.72,10.68,all P 〈0.05）.the anesthesia success rate of the observation group was 98%,significantly higher than 88% of the control group,the difference between the two groups was statistically significant（χ2 =9.12,P 〈0.05）.The incidence rate of complications in the observation group was 0,while the control group was 8%,two groups had significant difference in complication rate（χ2 =8.34,P 〈0.05）.Conclusion Ultrasonic location in in-terscalene brachial plexus block anesthesia has a good clinical effect,with high safety,which is worthy of populariza-tion and application.

关 键 词：超声检查 手法解剖学定位 臂丛神经阻滞 

分 类 号：R614[医药卫生—麻醉学]