在上肢手术中借助超声引导开展臂丛神经阻滞的价值探析  

Value of Ultrasound-guided Brachial Plexus Block in Upper Extremity Surgery

作　　者：钱艇[1] 任鸿飞[1] 何俊[1] QIAN TING;REN Hong-fei;HE Jun(Department of Anesthesiology,Yixing People’s Hospital,Yixing,Jiangsu,214200,China)

机构地区：[1]宜兴市人民医院麻醉科,江苏宜兴214200

出　　处：《黑龙江医学》2020年第10期1424-1426,共3页Heilongjiang Medical Journal

摘　　要：目的探析在上肢手术中应用超声引导下臂丛神经阻滞麻醉的临床价值。方法遵从麻醉措施差异方式进行分组,选取宜兴市人民医院骨科、手外科于2018年7月—2019年12月期间的60例上肢手术患者分为对照组(30例,盲法穿刺)和治疗组(30例,超声引导下臂丛神经阻滞);观察两组患者应用效果以及麻醉效果。结果治疗组麻醉操作完成时间、感觉、运动阻滞起效用时较短,疼痛评分相比较低,差异有统计学意义(P<0.05)。经麻醉,治疗组麻醉总有效率较对照组高(96.6%VS70.0%),差异有统计学意义(P<0.05)。结论对上肢手术患者实施麻醉,建议采纳超声引导下臂丛神经阻滞麻醉措施,可有效提高应用效果并提升麻醉效果。Objective To understand the clinical value of ultrasound-guided brachial plexus block anesthesia in upper extremity surgery.Methods 60 patients with upper extremity surgery in the hospital from July,2018 to December,2019 were divided into the control group(30 cases,blind puncture)and the treatment group(30 cases,brachial plexus block under the guidance of ultrasound).The application effect and anesthesia effect of the two groups were observed.Results In the treatment group,the completion time of anesthesia,sensory and motor block onset time were shorter,and the pain score was lower.The differences were statistically significant(P<0.05).After anesthesia,the total effective rate of anesthesia in the treatment group was higher than that in the control group(96.6%vs 70.0%).The differences were statistically significant(P<0.05).Conclusion It is suggested that the anesthesia of brachial plexus block under the guidance of ultrasound can effectively improve the effect of anesthesia.

关 键 词：超声引导 臂丛神经阻滞 上肢手术 应用效果 麻醉效果 

分 类 号：R614.4[医药卫生—麻醉学]