神经刺激仪定位对老年桡骨骨折患者行肌间沟臂丛神经阻滞麻醉的效果  

Effect of Nerve Stimulator Localization on the Intermuscular Groove Brachial Plexus Block Anesthesia in Elderly Patients with Radius Fracture

作　　者：陈竞 吴穗平 蔡宜良 陈家趁 谢葵山 CHEN Jing;WU Suiping;CAI Yiliang;CHEN Jiachen;XIE Kuishan(Yangdong District People’s Hospital,Yangjiang City,Yangjiang 529500,China;不详)

机构地区：[1]阳江市阳东区人民医院,广东阳江529500

出　　处：《中外医学研究》2020年第35期20-22,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：阳江市卫生计生局科技计划项目(阳卫计2016041)。

摘　　要：目的:观察老年桡骨骨折患者行肌间沟臂丛神经阻滞麻醉神经刺激仪定位的效果。方法:回顾性选取2019年1月-2020年1月本院老年桡骨骨折患者60例,依据肌间沟臂丛神经组织麻醉方法分为神经刺激仪定位组(n=30)和传统异感法定位组(n=30)两组,统计分析两组心率(HR)、平均动脉压(MAP)、穿刺针进入到注药完毕时间、感觉和运动神经阻滞起效及完善时间、并发症发生情况。结果:两组注药前(T0)、注药后15 min(T1)、注药后30 min(T2)、手术切皮后10 min(T3)时的HR、MAP比较,差异无统计学意义(P>0.05)。神经刺激仪定位组穿刺针进入到注药完毕时间、感觉、运动神经阻滞起效、完善时间均显著早于传统异感法定位组(P<0.05)。神经刺激仪定位组并发症发生率为3.3%(1/30),低于传统异感法定位组的26.7%(8/30),差异有统计学意义(P<0.05)。结论:老年桡骨骨折患者行肌间沟臂丛神经阻滞麻醉神经刺激仪定位的效果较传统异感法定位好。Objective:To observe the effect of nerve stimulator localization on the intermuscular groove brachial plexus block anesthesia in elderly patients with radius fracture.Method:A total of 60 cases of elderly patients with radial fracture in our hospital from January 2019 to January 2020 were retrospectively selected.According to the method of intramuscular groove brachial plexus block anesthesia,they were divided into two groups:the nerve stimulator localization group (n=30) and the traditional paresthesia localization group (n=30).The heart rate (HR),mean arterial pressure (MAP),time from the puncture needle entering to completion of injection,onset and improvement time of sensory and motor nerve block,occurrences of complications of the two groups were statistically analyzed.Result:Comparison of HR and MAP between the two groups before injection (T0),15 min after injection (T1),30 min after injection (T2),10 min after operation section (T3) showed no statistically significant differences (P>0.05).The time from puncture needle entering to completion of injection,onset and improvement time of sensory and motor nerve block of the nerve stimulator localization group were significantly earlier than those of the traditional paresthesia localization group (P<0.05).The incidence of complications in the nerve stimulator localization group was 3.3% (1/30),which was lower than 26.7% (8/30) in the traditional paresthesia localization group,the difference was statistically significant (P<0.05).Conclusion:Compared with traditional paresthesia localization,the effect of nerve stimulator localization is better on intermuscular groove brachial plexus block anesthesia in elderly patients with radial fracture.

关 键 词：老年 桡骨骨折 肌间沟臂丛神经阻滞麻醉 神经刺激仪定位 传统异感法定位 效果 

分 类 号：R614[医药卫生—麻醉学]