喙突上法肩胛上神经穿刺定位  

The Coracoid Method of Suprascapular Nerve Puncture Positioning

作　　者：祝永进[1] 李亚[1] 

机构地区：[1]四川省都江堰市人民医院麻醉科,四川都江堰611830

出　　处：《河北医学》2017年第3期415-418,共4页Hebei Medicine

基　　金：四川省自然科学基金资助项目;(编号:BK2014232)

摘　　要：目的:探讨肩胛上神经阻滞采用传统法与喙突上法肩胛上神经阻滞的优劣,寻找一种更简便更准确的方法,提高肩胛上神经阻滞的疗效。方法:采用分段随机化分组,对两组43例肩周炎患者,分别采用传统穿刺法与喙突上法行肩胛上神经阻滞,通过C型臂透视证实,并注射0.5%盐酸罗哌卡因复合镇痛液后,患者有明显向肩部及肩胛区放射异感,10min后疼痛消失或明显减轻,说明阻滞成功。结果:采用传统法成功率74.4%,喙突法成功率达97.7%,组间比较差异有统计学意义(P<0.05)。结论:传统法阻滞成功率较低,缘于该法没有考虑体格差异,而喙突与肩胛骨的比例相对固定,所以喙突上法肩胛上神经阻滞是一种简单又准确的方法,明显优于传统法。Objective： To investigate the suprascapular nerve block using the traditional method and the coracoid method of suprascapular nerve block quality,to find a more simple method more accurately,improve the curative effect of suprascapular nerve block. Methods： using piecewise randomization,two groups of 43 patients respectively,using the traditional puncture and coracoid method of suprascapular nerve block,confirmed by perspective of C arm,and injection of 0.5% ropivacaine hydrochloride compound analgesic liquid after patients have obvious radiation to the shoulder and scapular region paresthesia,pain disappeared after 10 minutes or significantly reduced,that the success of the block. Results： the success rate of 74.4% using the traditional method,the coracoid method success rate was 97. 7%,there were significant differences between the groups（ P 〈0.05）. Conclusion： the traditional method of block success rate is low,because the method does not consider the physical differences,while the proportion of scapula and coracoid process is relatively fixed,so the coracoid method of suprascapular nerve block is a simple and accurate method is obviously superior to the traditional method.

关 键 词：喙突 肩胛上神经 C型臂 

分 类 号：R614[医药卫生—麻醉学]