探讨两种不同方式行臂丛神经阻滞的麻醉效果比较  

Comparison of the Anesthetic Effect of Two Different Ways of Brachial Plexus Block

作　　者：李绍臣[1] 郑万超 卞晓慧[1] 王桂艳[1] 武知荣[1] LI Shaochen;ZHENG Wanchao;BIAN Xiaohui;WANG Guiyan;WU Zhirong(Department of Anesthesiology,General Hospital of Daqing Oil Field of Heilongjiang,Daqing Heilongjiang 163001,China)

机构地区：[1]黑龙江省大庆油田总医院麻醉科,黑龙江大庆163001

出　　处：《中国继续医学教育》2018年第22期62-63,共2页China Continuing Medical Education

摘　　要：目的研究分析臂丛神经阻滞麻醉使用超声引导定位和传统解剖的差异性。方法选取我院接收上肢手术治疗的患者84例作为研究对象,将全部患者分成对照组与观察组,每组均有42例患者。观察组使用超声引导定位,对照组使用传统解剖定位。对两组麻醉情况进行观察分析。结果观察组患者平均的麻醉完成时间、起效时间、阻滞效果均优于对照组,两组结果对比,差异具有统计学意义(P<0.05);观察组患者的并发症发生率4.76%,对照组为19.05%,两组结果对比,差异具有统计学意义(P<0.05)。结论臂丛神经阻滞麻醉使用超声引导定位的效果突出,患者的不良反应率低。Objective To analyze the differences between ultrasound guided and traditional anatomy of brachial plexus block anesthesia. Methods 84 patients receiving upper extremity surgery in our hospital were selected as the research objects. All patients were divided into the control group and the observation group, with 42 patients in each group. The observation group was guided by ultrasound, while the control group used traditional anatomical localization. The anaesthesia of the two groups was observed and analyzed. Results The average time, time and effect of anesthesia in the observation group were better than those in the control group, and the difference between the two groups was statistically signifcant （P 〈 0.05）. The incidence of complications in the observation group was 4.76%, which was 19.05% in the control group. The difference between the two groups was statistically signifcant （P 〈 0.05）. Conclusion The effect of ultrasound-guided localization of brachial plexus block is outstanding, and the adverse reaction rate of the patients is low.

关 键 词：超声引导定位 传统解剖定位 臂丛神经阻滞 麻醉效果 比较 观察 

分 类 号：R614[医药卫生—麻醉学]