肌间沟臂丛阻滞方法的改进  

The improvement on interscalene brachial plexus block

作　　者：董丙武[1] 

机构地区：[1]泗县人民医院,安徽泗县234300

出　　处：《临床医药实践》2008年第S2期574-576,共3页Proceeding of Clinical Medicine

摘　　要：目的:探索一种简便实用的臂丛神经阻滞方法。方法:440例上肢手术患者随机分为两组,A组为实验组,采用胸锁乳突肌锁骨头后缘锁骨上3 cm处垂直向后进针1.5~3 cm,B组为传统组,即在前中斜角肌间沟底部向尾端进针1.5~3 cm,两组用药均为0.375%布比卡因20 mL。结果:A组优良率明显大于B组(P【0.01),并发症也较B组少。结论:改进后的臂丛阻滞方法明显优于传统方法,值得推广应用。Objective:To explore a simple and practical method of brachical plexus block.Methods:Four hundred and forty adults scheduled for upper extremity surgery were randomly divided into two groups.Group A was experimental,selected the intersection above clavicle 3 cm and line the edging of clavicle beginning of sternocleidomastoid,using a needle stabed backwards 1.5～3 cm and injected 0.375% bupivacaine 20 mL.Group B was traditional,stabed towards tail 1.5～3 cm under the interscalene and injected 0.375% bupivacaine 20 mL.Results:Group A was superior to Group B(P<0.01).Complications in Group A was less than Group B.Conclusion:The new way of brachical plexus block is superior to the traditional method.

关 键 词：神经阻滞 臂丛麻醉 肌间沟法 

分 类 号：R614.4[医药卫生—麻醉学]