不同体位超声引导下肌间沟臂丛神经阻滞麻醉的护理配合  

Clinical effect of Interscalene Brachial Plexus Block anesthesia by Ultrasound

作　　者：苏雪敏 刘燕君[1] 黄琳[1] 胡琳[1] 刘优凤[1] 冯丽珍[1] 

机构地区：[1]广东省第二人民医院,广东广州510317

出　　处：《现代医院》2017年第8期1240-1242,共3页Modern Hospitals

摘　　要：目的探讨在不同体位超声引导下实施肌间沟臂丛神经阻滞麻醉不同的临床效果。方法选择最近需要接受臂丛神经阻滞麻醉的手外伤患者,按照随机分配的原则,随机分成侧卧位组与仰卧位组,每组各20例。比较两组患者的舒适度、实施麻醉的操作难易程度、麻醉操作所需要的时间长短三个方面的内容。结果侧卧位组的患者舒适度比仰卧位组高(P<0.05);侧卧位组麻醉操作易于仰卧位组(P<0.05);侧卧位组麻醉操作时间小于仰卧位组(P<0.05)。结论侧卧位超声引导下实施肌间沟臂丛神经阻滞麻醉能增加患者的舒适度,并能降低麻醉操作难度,缩短麻醉时间。Objective To explore the different clinical effect of Interscalene Brachial Plexus Block by Ultrasound with different position. Methods All patients who recently were treated with brachial plexus block anesthesia, according to the principle of completely random, were randomly divided into group A （lateral position） and group B （ supine position） , 20 cases in each group. Comparison of the comfort of the two groups, the difficulty of the implementation of anesthesia, the time required for anesthesia. Results The comfort of group A was higher than that of group B （ P 〈 0. 05 ） . Group A is easier to operate than Group B （P 〈0. 05）. The anesthesia time in group A was less than that in group B. （P 〈0. 05）.Conclusion Ultrasound guidance of the implementation of interscalene brachial plexus block anesthesia with lateral position care can increase the patient’s comfort,and can reduce the difficulty of operation, shorten the anesthesia time.

关 键 词：超声引导 肌间沟臂丛神经阻滞 不同体位 临床效果 

分 类 号：R472.3[医药卫生—护理学]