超声与周围神经刺激器引导下锁骨上臂丛神经阻滞在上肢手术中的应用效果比较  

Comparison of application effect of supraclavicular brachial plexus block guided by ultrasonography and peripheral nerve stimulator in upper extremity surgery

作　　者：吴友冈 钱斌 WU Yougang;QIAN Bin(Anesthesiology Department,Traditional Chinese Medicine Hospital of Jianhu County,Yancheng 224700;Anesthesiology Department,Yancheng No.1 People's Hospital,Yancheng 224006,China)

机构地区：[1]江苏省建湖县中医院麻醉科,江苏盐城224700 [2]盐城市第一人民医院麻醉科,江苏盐城224006

出　　处：《临床医学研究与实践》2022年第35期114-117,共4页Clinical Research and Practice

摘　　要：目的比较超声(USG)和周围神经刺激器(PNS)引导下锁骨上臂丛神经阻滞在上肢手术中的应用效果。方法选取2018年1月至2020年11月在我院接受上肢手术的62例患者为研究对象,按照麻醉方式的不同将其分为USG组和PNS组,各31例。USG组以USG引导辅助进行锁骨上臂丛神经阻滞,PNS组以PNS辅助进行锁骨上臂丛神经阻滞。比较两组的麻醉效果。结果USG组的麻醉操作时间、感觉阻滞起效时间、运动阻滞起效时间均显著短于PNS组,差异具有统计学意义(P<0.05);USG组的感觉阻滞持续时间长于PNS组,差异具有统计学意义(P<0.05);两组的运动阻滞持续时间比较,差异无统计学意义(P>0.05)。USG组的麻醉总有效率为96.77%,高于PNS组的80.65%,差异具有统计学意义(P<0.05)。USG组的并发症总发生率为6.45%,低于PNS组的25.81%,差异具有统计学意义(P<0.05)。结论与PNS相比,USG引导下锁骨上臂丛神经阻滞可以缩短上肢手术的麻醉操作时间及起效时间,延长感觉阻滞持续时间,提高麻醉有效率,并减少并发症,值得临床推广应用。Objective To compare the application effect of supraclavicular brachial plexus block guided by ultrasonography(USG)and peripheral nerve stimulator(PNS)in upper extremity surgery.Methods A total of 62 patients who received upper extremity surgery in our hospital from January 2018 to November 2020 were selected as the research objects and divided into USG group and PNS group according to different anesthesia methods,with 31 cases in each group.In the USG group,supraclavicular brachial plexus block was assisted by USG guidance,and in the PNS group,supraclavicular brachial plexus block was assisted by PNS.The anesthetic effects of the two groups were compared.Results The anesthesia operation time,sensory block onset time and motor block onset time in the USG group were significantly shorter than those in the PNS group,and the differences were statistically significant(P<0.05);the duration of sensory block in the USG group was longer than that in the PNS group,and the difference was statistically significant(P<0.05);there was no significant difference in the duration of motor block between the two groups(P>0.05).The total effective rate of anesthesia in the USG group was 96.77%,which was higher than 80.65%in the PNS group,and the difference was statistically significant(P<0.05).The total incidence of complications of the USG group was 6.45%,which was lower than 25.81%of the PNS group,and the difference was statistically significant(P<0.05).Conclusion Compared with PNS,supraclavicular brachial plexus block guided by USG can shorten the anesthesia operation time and onset time of upper extremity surgery,extend the duration of sensory block,improve anesthesia efficiency,and reduce complications,which is worthy of clinical promotion and application.

关 键 词：超声 周围神经刺激器 锁骨上臂丛神经阻滞 上肢手术 感觉阻滞起效时间 运动阻滞起效时间 感觉阻滞持续时间 运动阻滞持续时间 

分 类 号：R614[医药卫生—麻醉学]