一日病房神经刺激器与超声引导下双侧腋路臂丛神经阻滞临床观察  

One Day Neurostimulator and Ultrasound Guided Bilateral Axillary Approach in Ward

作　　者：李莲娣 苗慧 岳文江 赵艳晶 郭玲 于广浩[2] LI Lian-di;MIAO Hui;YUE Wen-jiang;ZHAO Yan-jing;GUO Ling;YU Guang-hao(The Second Affiliated Hospital of Mudanjiang Medical College,Heilongjiang Mudanjiang 157009;School of Medical Imaging,Mudanjiang Medical University,Heilongjiang Mudanjiang 157011)

机构地区：[1]牡丹江医学院附属第二医院,黑龙江牡丹江157009 [2]牡丹江医学院医学影像学院,黑龙江牡丹江157011

出　　处：《中国医疗器械信息》2020年第1期101-102,共2页China Medical Device Information

基　　金：黑龙江省卫生计生委科研课题（项目编号：2017-324）;黑龙江省省属高等学校基本科研业务费科研项目（项目编号：2018-KYYWFMY-0049）;牡丹江市科学技术计划项目（项目编号：Z2018s064）;黑龙江省教育科学规划课题（项目编号：GJC1318110）

摘　　要：目的:探讨并比较一日病房神经刺激器与超声引导下双侧腋路臂丛神经阻滞在双侧前臂/手外伤手术中的安全性和有效性。方法:收集一日病房双侧前臂/手外伤患者208例。随机分为神经刺激器引导组和超声引导组。臂丛每支神经给0.5%罗哌卡因5mL阻滞。观察阻滞成功率、感觉和运动阻滞起始时间等。结果:神经刺激器组成功率较低。神经刺激器组感觉和运动阻滞起始时间及操作时间较长。结论:双侧腋路臂丛神经阻滞可以安全有效地用于一日病房双侧前臂/手外伤手术的患者。Objective: To explore and compare the safety and efficacy of bilateral axillary brachial plexus nerve block under ultrasound guidance and nerve stimulator in the first ward in bilateral forearm/hand trauma. Methods: A total of 208 cases of patients bilateral forearm/hand trauma in the first ward were collected. Patients were divided into two groups: Neural stimulator guided group, Ultrasound guidance group. Each branch of brachial plexus nerve was given 0.5% ropivacaine 5 mL for block. Observation success rate, onset time for sensory block and motor block, etc. Results: The nerve stimulator is of low power. Neural stimulator guided group the duration of sensory, motor arrest and the operation time was longer. Conclusion: Bilateral axillary brachial plexus nerve block can be used safely and effectively in patients undergoing bilateral forearm/hand trauma in the ward.

关 键 词：臂丛阻滞 超声 神经刺激器 一日病房 

分 类 号：TH772[机械工程—仪器科学与技术]