超声引导在臂丛神经阻滞麻醉中的应用效果评价  

Evaluation of the Effect of Ultrasound-guided Brachial Plexus Block Anesthesia

作　　者：王青华[1] 赵艳东 陶峥 WANG Qinghua;ZHAO Yandong;TAO Zheng(Department of Anesthesiology,Changping District Hospital,Beijing 102200,China)

机构地区：[1]北京市昌平区医院麻醉科

出　　处：《中国卫生标准管理》2019年第16期124-126,共3页China Health Standard Management

摘　　要：目的评价超声引导在臂丛神经阻滞麻醉中的应用效果。方法选择我院2017年3月-2019年3月收治的226例上肢手术患者作为研究对象,所有患者均行臂丛神经阻滞麻醉,根据定位方式的不同将患者分为观察者与对照组,每组113例。观察组患者采用超声引导定位,对照组患者采用传统解剖定位,对两组患者的麻醉效果及安全性进行评价。结果观察组患者麻醉起效时间、麻醉维持时间及VAS评分均优于对照组(P<0.05),观察组患者麻醉效果优良率为92.0%,高于对照组患者的82.3%,观察组患者并发症发生率为6.2%,低于对照组患者的15.0%,组间差异有统计学意义(P<0.05)。结论超声引导在臂丛神经阻滞麻醉中具有较高的应用价值,可促进手术的顺利进行,且麻醉不良反应发生率低,安全性高。Objective To evaluate the effect of ultrasound-guided brachial plexus block anesthesia.Methods 226 patients with upper limb surgery in our hospital from March 2017 to March 2019 were selected as the research object.All patients were anesthetized by brachial plexus block.According to the different location methods,the patients were divided into observation group and control group,113 cases in each group.The patients in the observation group were positioned by ultrasound guidance,while the patients in the control group were positioned by traditional anatomy.The anesthesia effect and safety of the two groups were evaluated.Results The onset time,maintenance time and VAS score of anesthesia in the observation group were better than those in the control group(P<0.05).The excellent and good rate of anesthesia in the observation group was 92.0%,significantly higher than that in the control group(82.3%).The incidence of complications in the observation group was 6.2%,significantly lower than that in the control group(15.0%).There was a significant difference between the two groups(P<0.05).Conclusion Ultrasoundguided brachial plexus block anesthesia has high application value,can promote the smooth operation,and the incidence of adverse reactions of anesthesia is low,high safety.

关 键 词：上肢手术 臂丛神经阻滞 麻醉 超声 引导 效果 

分 类 号：R614[医药卫生—麻醉学]