超声联合周围神经刺激器臂丛神经阻滞治疗疼痛的观察  

Ultrasound Combined With Peripheral Nerve Stimulator Brachial Plexus Block for the Treatment of Pain

作　　者：李东勋[1] 

机构地区：[1]吉林省龙井市人民医院麻醉疼痛科,吉林龙井133400

出　　处：《中国继续医学教育》2017年第12期80-81,共2页China Continuing Medical Education

摘　　要：目的探讨超声定位与周围神经刺激器引导下臂丛神经阻滞在疼痛治疗中的作用。方法按照1:1比例,将92例单侧上肢带状疱疹痛和臂丛神经损伤后疼痛患者随机分为研究组(超声引导臂丛神经阻滞)与对照组(周围神经刺激器引导臂丛神经阻滞)。对比两组麻醉效果。结果两组疼痛控制优良率对比,差异无统计学意义(P>0.05);研究组、对照组不良反应发生率分别为0.0%、8.7%(P<0.05)。结论超声定位与周围神经刺激器引导下臂丛神经阻滞均能控制疼痛程度,而超声引导不良反应少。Objective To investigate the role of ultrasound localization and peripheral nerve stimulator guided brachial plexus block in pain management. Methods According to the 1：1 ratio, 92 cases of unilateral upper extremity herpes zoster pain and pain induced by brachial plexus injury patients were randomly divided into study group （ultrasound guided brachial plexus block） and control group （peripheral nerve stimulator guided brachial plexus block）. The effect of anesthesia between the two groups was compared. Results There was no significant difference in the rate of pain control between the two groups （P〉0.05）. The incidence of adverse reactions in the study group and the control group was 0.0% and 8.7% respectively （P〈0.05）. Conclusion Ultrasound localization and brachial plexus block guided by peripheral nerve stimulator can control the degree of pain, but less adverse reactions are guided by ultrasound.

关 键 词：超声 周围神经刺激器 臂丛神经阻滞 疼痛 

分 类 号：R445[医药卫生—影像医学与核医学]