双重引导下肌间沟臂丛神经阻滞麻醉在上臂骨折手术中的应用效果观察  

Application Effect of Double Guided Intermuscular Ditches Brachial Plexus Block Anesthesia in the Operation of Upper Arm Fracture

作　　者：陈海铭[1] 陈幸连 CHEN Haiming;CHEN Xinglian(Foshan Traditional Chinese Medicine Hospital,Foshan 528000,China)

机构地区：[1]广东省佛山市中医院,广东佛山528000

出　　处：《中国医学创新》2018年第29期126-129,共4页Medical Innovation of China

摘　　要：目的:观察在上臂骨折手术患者中运用双重引导下肌间沟臂丛神经阻滞麻醉的效果分析。方法:选取2016年10月-2017年11月在本院就诊的上臂骨折患者150例作为研究对象,按照随机数x~表法将其分成对照组和双重组,各75例。对照组采取超声引导下臂丛神经阻滞麻醉,双重组采取超声联合神经刺激仪双重引导麻醉,比较两组麻醉时间、对麻醉的满意度和异感发生情况。结果:双重组麻醉起效、感觉神经阻滞和运动神经阻滞时间分别为(4.25±1.06)min、(9.35±1.57)min和(10.67±2.06)min,均明显快于对照组的(5.93±1.77)min、(12.06±2.58)min和(14.93±3.57)min;镇痛持续时间为(573.35±178.76)min明显长于对照组的(485.68±146.86)min,差异均有统计学意义(P<0.05)。双重组患者对麻醉满意率为100%明显高于对照组的82.67%;异感率为0明显低于对照组的30.67%,差异均有统计学意义(x^2=46.675 7、35.625 4,P=0.000 2、0.000 0)。结论:在采取肌间沟臂丛神经阻滞麻醉的上臂骨折手术患者中,应用超声联合神经刺激仪,可有效提高麻醉阻滞成功率,麻醉起效迅速、持续时间长且完善,并提高了患者对麻醉的满意度,效果理想。Objective:To observe the effect of double guided intermuscular ditches brachial plexus block anesthesia in patients with upper arm fracture.Method:A total of 150 patients with upper arm fracture who were treated in our hospital from October 2016 to November 2017 were selected as the study objects.According to random number table method,they were divided into control group and double group,75 cases in each group.The control group was treated with ultrasound-guided brachial plexus block anesthesia,the the double group was treated with ultrasound combined with nerve stimulator double-guided anesthesia.The time and satisfaction degree of anesthesia and the occurrence of anomaly between the two groups were compared.Result:The onset of anesthesia,sensory nerve block time and motor nerve block time were(4.25±1.06)min,(9.35±1.57)min and(10.67±2.06)min respectively,which were significantly faster than(5.93±1.77)min,(12.06±2.58)min and(14.93±3.57)min in the control group;the duration of analgesia was(573.35±178.76)min,significantly longer than(485.68±146.86)min in the control group,the differences were statistically significant(P<0.05).The satisfaction rate of anesthesia was 100%in the double group,which was significantly higher than 82.67%in the control group,and the abnormal sensation rate was 0,which was significantly lower than 30.67%in the control group,the differences were statistically significant(χ2=46.675 7,35.625 4;P=0.000 2,0.000 0).Conclusion:In the operation of upper arm fracture patients with intermuscular ditches brachial plexus block anesthesia,the application of ultrasound combined with nerve stimulator can effectively improve the success rate of anesthesia block,anesthesia onset effect quickly,lasting a long time and perfect,improve satisfaction of patients with anesthesia,the effect is ideal.

关 键 词：双重引导下 臂丛神经阻滞麻醉 上臂骨折手术 

分 类 号：R614[医药卫生—麻醉学]