超声引导一针四点法对手术患者行腋路臂丛神经阻滞的有效性评价  

Ultrasound-guided One-needle Four-point Method for Evaluating the Effectiveness of Axillary Brachial Plexus Block in Surgical Patients

作　　者：刘阳 吴建[1] 袁泽粤 黄松带 黄春荣[1] LIU Yang;WU Jian;YUAN Ze-yue;HUANG Song-dai;HUANG Chun-rong(Department of Ultrasound,Huangjiang Hospital of Dongguan,Dongguan,Guangdong Province,523750 Chin)

机构地区：[1]东莞市黄江医院超声科,广东东莞523750

出　　处：《中外医疗》2018年第15期188-190,共3页China & Foreign Medical Treatment

基　　金：广东省东莞市2017年社会科技发展(201750715041222)

摘　　要：目的探讨应用超声引导一针四点法对手术患者实施腋路臂丛神经阻滞的有效性。方法方便选取2016年11月—2017年11月间将在该院接受手术治疗、需要行腋路臂丛神经阻滞的78例患者,随机分为超声组和对照组,应用传统穿刺方法对对照组患者实施腋路臂丛神经阻滞,应用超声引导一针四点法对超声组患者实施腋路臂丛神经阻滞。结果超声组感觉神经阻滞起效时间、运动神经阻滞起效时间均较对照组早(P<0.05),阻滞维持时间较对照组长(P<0.05),两组麻醉并发症发生率比较差异无统计学意义(P>0.05)。结论应用超声引导一针四点法对手术患者实施腋路臂丛神经阻滞,能够进一步改善患者的麻醉效果,减少麻醉风险事件的发生。Objective This paper tries to explore the effectiveness of ultrasound-guided one-needle four-point method in the treatment of patients with axillary brachial plexus block. Methods 78 patients undergoing surgical treatment in this hospital who required axillary brachial plexus block were randomly divided into an ultrasound group and a control group.The aortic plexus block was performed on the patients in the control group using a traditional puncture method, and ultrasound guidance was used. One-needle four-point method performed brachial plexus block in the ultrasound group. Results The onset time of sensory nerve block in the ultrasound group and the onset time of motor nerve block were all earlier than those in the control group（P〈0.05）, and the blockade maintenance time was longer than that in the control group（P〈0.05）.The incidence of anesthesia complications in the two groups was compared. the differece was not ctatistically significant（P〉0.05）. Conclusion The use of ultrasound-guided one-needle four-point method in the treatment of patients with axillary brachial plexus block can further improve the patient＇s anesthetic effect and reduce the occurrence of anesthetic risk events.

关 键 词：超声 一针四点法 腋路臂丛神经阻滞 有效性 

分 类 号：R614[医药卫生—麻醉学]