臂丛颈丛联合阻滞麻醉在肩关节手术中的应用观察  

Application Observation of Combined Brachial-Cervical Plexus Block Anesthesia in Shoulder Joint Surgery

作　　者：朱延浩 王守义[1] 吴博[1] 吴荭[1] 

机构地区：[1]安徽中医药大学第一附属医院麻醉科,安徽合肥230031

出　　处：《中医药临床杂志》2016年第11期1614-1616,共3页Clinical Journal of Traditional Chinese Medicine

摘　　要：目的:比较臂丛颈丛联合阻滞麻醉和单纯高位肌间沟臂丛神经阻滞麻醉用于肩关节手术的效果。方法:将90例患者随机分为Ⅰ组(45例)和Ⅱ组(45例),Ⅰ组施行臂丛颈丛联合阻滞,Ⅱ组施行单纯高位肌间沟臂丛神经阻滞。麻醉施行后,观测2组的麻醉效果和不良反应。结果:在麻醉效果方面Ⅰ组成功率97.8%,Ⅱ组成功率68.9%,差异有统计学意义。结论:肩关节手术采用臂丛颈丛联合阻滞麻醉效果完善。Objective： To compare the effects of combined brachial-cervical plexus block anesthesia and simple upper interscalene brachial plexus nerve block anesthesia in shoulder joint surgery. Methods： 90 cases were divided into the group Ⅰ （ 45 cases ） and the group Ⅱ （ 45 cases ）. Subjects in the group I were treated with combined brachialcervical plexus anesthesia, while subjects in the group Ⅱ were treated with simple upper interscalene brachial plexus nerve block anesthesia. After the anesthesia, the anesthetic effects and adverse reactions of the two groups were observed. Results ： in respect of anesthetic effect, the successful rate of the group Ⅰ was 97.8%, while the successful rate of the group Ⅱ was 68.9% （ P〈0.05 ）. Conclusion： Combined brachial-cervical plexus block anesthesia has nearly perfect anesthetic effect in shoulder joint surgery.

关 键 词：臂丛颈丛联合阻滞 高位肌间沟臂丛阻滞 肩关节手术 

分 类 号：R271.9[医药卫生—中西医结合]