超声引导联合神经电生理监测在小儿臂丛神经阻滞中的应用  

Application of Ultrasound Guidance Combined with Neuroelectrophysiological Monitoring in Pediatric Brachial Plexus Block

作　　者：杨轩[1] 黎鸣[1] 廖荣宗[2] 彭健泓[2] YANG Xuan;LI Ming;LIAO Rong-zong(Electromyogram Room,Foshan Hospital of TCM,Foshan 528000,Guangdong Province,China)

机构地区：[1]广东省佛山市中医院肌电图室,广东佛山528000 [2]广东省佛山市中医院麻醉科,广东佛山528000

出　　处：《罕少疾病杂志》2019年第6期71-73,共3页Journal of Rare and Uncommon Diseases

基　　金：广东省佛山市科技局攻关项目课题(201308049)

摘　　要：目的探讨超声引导联合神经电生理监测在小儿臂丛神经阻滞中的应用效果。方法选取我院2014年2月-2015年12月期间行闭合尺、桡骨骨折拟骨折切开复位内固定术患儿40例,采用随机抽样法,将纳入标准的40例患者分为2组,对照组和观察组,每组20例。观察组使用超声引导联合神经电生理监测阻滞,对照组使用单纯超声引导阻滞,比较2组麻醉总体效果。结果观察组臂丛神经阻滞效果优于对照组(P<0.05);观察组麻醉操作时间较对照组长(P<0.05),观察组全麻药用量少于对照组(P<0.05),术后苏醒时间较对照组短(P<0.05);对照组苏醒期出现烦躁不安者4例(20.00%)高于观察组的0例(0.00%)(P<0.05)。结论超声引导联合神经电生理监测在小儿臂丛神经阻滞中的应用效果良好。Objective To explore the effects of ultrasound guidance combined with neuroelectrophysiological monitoring in pediatric brachial plexus block.Methods 40 children patient who underwent open reduction and internal fixation of closed ulnar fracture and radial fracture in our hospital from February 2014 to December 2015 were selected and divided into two groups(control group and observation group)according to the randomized sampling method,with 20 cases in each group.Observation group was given ultrasound guidance combined neuroelectrophysiological monitoring,and control group was given simple ultrasound-guided block.The overall anesthesia effects in the two groups were compared.Results The effects of brachial plexus block in observation group were better than those in control group(P<0.05).The anesthesia operating time in observation group was longer than that in control group(P<0.05).The total anesthetic dosage in observation group was less than that in control group(P<0.05),and the postoperative recovery time was shorter than that in control group(P<0.05).The number of cases with dysphoria in control group was higher than that in observation group[4 cases(20.00%)vs 0 case(0.00%)](P<0.05).Conclusion Ultrasound guidance combined with neurophysiological monitoring has good application effects in the treatment of pediatric brachial plexus block.

关 键 词：神经电生理监测 臂丛神经阻滞 混合肌肉动作电位 

分 类 号：R614[医药卫生—麻醉学] R444[医药卫生—外科学]