超声引导下臂丛联合颈浅丛神经阻滞在锁骨手术中的应用研究  

Study on the Application of Ultrasound-Guided Brachial Plexus Combined with Superficial Cervical Plexus Nerve Block in Clavicle Surgery

作　　者：吴天红 李林 林红飞 WU Tianhong;LI Lin;LIN Hongfei(Department of Anesthesiology,Shaoguan Third People's Hospital,Shaoguan 512122,China)

机构地区：[1]韶关市第三人民医院麻醉科,广东韶关512122

出　　处：《临床医学工程》2021年第8期1003-1004,共2页Clinical Medicine & Engineering

基　　金：韶关市卫生健康科研项目(项目编号:Y21109)。

摘　　要：目的探讨超声引导下臂丛联合颈浅丛神经阻滞在锁骨手术中的应用价值。方法选择2020年1月至2020年10月我院收治的锁骨骨折患者120例,随机分为两组各60例。观察组采用超声引导下臂丛联合颈浅丛神经阻滞,对照组采用非超声引导下臂丛联合颈浅丛神经阻滞。比较两组的阻滞见效时间、感觉恢复时间以及血流动力学指标。结果观察组的阻滞见效时间及感觉恢复时间均短于对照组(P<0.05)。T2、T3时,两组的HR均较T1时降低,SBP及DBP均较T1时升高,但观察组的HR显著高于对照组,SBP及DBP均显著低于对照组(P<0.05)。结论超声引导下臂丛联合颈浅丛神经阻滞应用于锁骨手术可缩短麻醉阻滞见效时间,稳定血流动力学,降低不良反应发生率。Objective To explore the application value of ultrasound-guided brachial plexus combined with superficial cervical plexus nerve block in clavicle surgery.Methods 120 patients with clavicle fracture admitted to our hospital from January 2020 to October 2020 were selected and randomly divided into two groups,with 60 cases in each group.The observation group was treated with ultrasound-guided brachial plexus combined with superficial cervical plexus nerve block,while the control group was treated with non-ultrasound-guided brachial plexus combined with superficial cervical plexus nerve block.The block onset time,sensory recovery time and hemodynamic indicators were compared between two groups.Results The block onset time and sensory recovery time of the observation group were shorter than those of the control group(P<0.05).At T2 and T3,both groups had lower HR and higher SBP and DBP than those at T1(P<0.05),while the HR of the observation group was higher than that of the control group,and the SBP and DBP were lower than those of the control group(P<0.05).Conclusions Ultrasound-guided brachial plexus combined with superficial cervical plexus nerve block applied in clavicle surgery can shorten the block onset time,stabilize hemodynamics and reduce the incidence of adverse reactions.

关 键 词：锁骨骨折 超声引导 臂丛联合颈浅丛神经阻滞 

分 类 号：R687.3[医药卫生—骨科学]