超声引导下多通道臂丛神经阻滞在尺桡骨骨折患者术后镇痛中的应用  

Application of Ultrasound-guided Multi-channel Brachial Plexus Block on Postoperative Analgesia in Patients with Ulna and Radius Fractures

作　　者：刘燕平 邓锐明 董自强 黄桂明[1] 刘晓成[1] LIU Yanping;DENG Ruiming;DONG Ziqiang;HUANG Guiming;LIU Xiaocheng(Ganzhou People’s Hospital,Jiangxi Province,Ganzhou 341000,China;不详)

机构地区：[1]江西省赣州市人民医院,江西赣州341000

出　　处：《中国医学创新》2022年第21期44-47,共4页Medical Innovation of China

基　　金：赣州市指导性科技计划项目(GZ2020ZSF196)。

摘　　要：目的:探析超声引导下多通道精准连续臂丛神经阻滞对尺桡骨骨折患者术后镇痛的效果。方法:选取2019年12月-2021年6月赣州市人民医院接诊的尺桡骨骨折患者80例作为研究对象,按计算机分组法将所有患者随机分为观察组和对照组,每组40例。对照组采用超声引导下单通道神经阻滞,观察组采用超声引导下多通道神经阻滞。记录两组术后4、8、12、24 h疼痛视觉模拟评分法(VAS)评分及术后疼痛自控按键次数、麻醉满意度及不良反应。结果:观察组术后4、8、12、24 h的VAS评分均低于对照组(P<0.05)。观察组自控按键次数为(3.11±1.12)次,少于对照组的(5.12±1.24)次(P<0.05)。观察组麻醉满意度为95.00%(38/40),高于对照组的75.00%(30/40)。观察组不良反应发生率为5.00%(2/40),低于对照组的35.00%(14/40)(P<0.05)。结论:超声引导下多通道精准连续臂丛神经阻滞可在尺桡骨骨折患者术后起到显著镇痛效果,同时能有效减少术后疼痛自控按键次数,提高患者的麻醉满意度且安全性高,具有较高临床应用价值。Objective:To explore the effect of ultrasound-guided multi-channel precise continuous brachial plexus block on postoperative analgesia in patients with ulna and radius fractures.Method:A total of 80 patients with ulna and radius fractures admitted to Ganzhou People’s Hospital from December 2019 to June 2021 were selected as the research objects.All patients were divided into the observation group and the control group according to the computer grouping method,with 40 cases in each group.The control group was given ultrasound-guided single-channel nerve block,and the observation group was given ultrasound-guided multi-channel nerve block.The pain visual analog scale(VAS)scores at 4,8,12 and 24 h after operation,the number of postoperative pain self-control keystrokes,anesthesia satisfaction and adverse reactions of two groups were recorded.Result:The VAS scores of the observation group at 4,8,12 and 24 h after operation were lower than those of the control group(P<0.05).The number of postoperative pain self-control keystrokes in the observation group was(3.11±1.12)times,which was less than(5.12±1.24)times in the control group(P<0.05).The anesthesia satisfaction rate in the observation group was 95.00%(38/40),which was higher than 75.00%(30/40)in the control group(P<0.05).The incidence of adverse reactions in the observation group was 5.00%(2/40),which was lower than 35.00%(14/40)in the control group(P<0.05).Conclusion:Ultrasound-guided multi-channel precise continuous brachial plexus block can play a significant analgesic effect in patients with ulna and radius fractures after surgery,can effectively reduce the number of postoperative pain self-control keystrokes,improve patients’anesthesia satisfaction and safety is high,it has high clinical application value.

关 键 词：尺桡骨骨折 术后镇痛 超声引导 多通道 阻滞 

分 类 号：R614[医药卫生—麻醉学]