B超引导下颈丛神经阻滞联合臂丛神经阻滞麻醉用于锁骨骨折手术的效果评估  

Evaluation of the Effect of Ultrasound-guided Cervical Plexus Block Combined with Brachial Plexus Block Anesthesia for Clavicle Fracture Surgery

作　　者：王砚书 WANG Yan-shu(Department of Anesthesiology,Diannan Central Hospital(People's Hospital of Gejiu City),Honghe Prefecture,Gejiu,Yunnan Province,661000 China)

机构地区：[1]云南省红河州滇南中心医院(个旧市人民医院)麻醉科,云南个旧661000

出　　处：《中外医疗》2021年第8期177-179,共3页China & Foreign Medical Treatment

摘　　要：目的将B超引导下颈丛神经阻滞联合臂丛神经阻滞麻醉应用在锁骨骨折手术中的效果进行分析。方法于2018年5月—2020年5月方便选取来该院就诊的锁骨骨折患者72例,平均分组。参照组予以常规超声引导下肌间沟臂丛顶点法阻滞麻醉,实验组予以B超引导下颈丛神经阻滞联合臂丛神经阻滞麻醉。比较两组干预效果。结果对比2组麻醉效果为97.22%和75.00%,实验组较高,差异有统计学意义(χ^(2)=7.432,P<0.05);实验组和参照组的不良反应发生率为5.56%和13.89%相比较,差异无统计学意义(χ^(2)=0.633,P>0.05)。实验组:麻醉即刻10 min心率为(75.32±8.54)次/min、用药后10 min心率为(73.32±8.26)次/min、用药后1 h心率为(65.06±6.15)次/min、手术结束心率为(70.21±4.56)次/min;实验组:麻醉即刻10 min平均动脉压为(92.42±12.23)mmHg、用药后10 min平均动脉压为(85.21±8.22)mmHg、用药后1 h平均动脉压为(81.26±4.72)mmHg、手术结束平均动脉压为(81.45±4.26)mmHg,均优于对照组,差异有统计学意义(P<0.05)。结论将B超引导下颈丛神经阻滞联合臂丛神经阻滞麻醉应用在锁骨骨折手术中,其麻醉效果显著,安全性较高,生命体征趋于正常。Objective To analyze the effect of cervical plexus block combined with brachial plexus block anesthesia in the operation of clavicle fracture under ultrasound guidance.Methods Conveniently selected 72 patients with clavicle fractures who came to the hospital for treatment from May 2018 to May 2020 were enrolled in the average group.The reference group was given conventional ultrasound-guided intermuscular sulcus brachial plexus block anesthesia,and the experimental group was given B-ultrasound guided cervical plexus block combined with brachial plexus block anesthesia.Compared the intervention effect of the two groups.Results Compared the two groups,the anesthesia effect was 97.22%and 75.00%,the experimental group was higher,the difference was statistically significant(χ^(2)=7.432,P<0.05);the adverse reaction rate of the experimental group and the reference group was 5.56%and 13.89%,the difference was not statistically significant(χ^(2)=0.633,P>0.05).Experimental group:heart rate at 10 min immediately after anesthesia(75.32±8.54)beats/min,heart rate at 10 min after medication(73.32±8.26)beats/min,heart rate at 1 h after medication(65.06±6.15)beats/min,heart rate at the end of surgery(70.21±4.56)times/min;experimental group:the average arterial pressure 10 min immediately after anesthesia was(92.42±12.23)mmHg,the average arterial pressure 10 min after the medication was(85.21±8.22)mmHg,and the average arterial pressure 1 h after the medication was(81.26±4.72)mmHg,the mean arterial pressure at the end of the operation was(81.45±4.26)mmHg,which were better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of cervical plexus block combined with brachial plexus block anesthesia under ultrasound guidance in clavicle fracture surgery has significant anesthesia effect,high safety,and vital signs tend to be normal.

关 键 词：B超引导 锁骨骨折手术 颈丛神经阻滞 臂丛神经阻滞麻醉 

分 类 号：R6[医药卫生—外科学]