喉罩全麻+臂丛神经阻滞在上肢手术中的应用效果研究  

Application Effect of Laryngeal Mask Anesthesia + Brachial Plexus Block in Upper Extremity Operation

作　　者：范美其 FAN Mei-qi(Liudu Hospital of Minqing County,Fujian Province(Liudu Branch of Minqing General Hospital),Fujian Fuzhou 350811)

机构地区：[1]福建省闽清县六都医院(闽清县总医院六都分院),福建福州350811

出　　处：《中国医疗器械信息》2023年第14期44-46,共3页China Medical Device Information

摘　　要：目的:探究在上肢手术实施中将喉罩全麻+臂丛神经阻滞法进行应用的临床效果。方法:选取本院患者为研究对象,研究开展时间为2021年1月~2023年1月,以此期间接收的100例上肢手术患者为例,采用随机数字表法分为两组,其中一组给予气管插管全麻(n=50),命名对照组,另外一组给予喉罩全麻+臂丛神经阻滞麻醉(n=50),命名为实验组,对比分析两组患者的血流动力学指标、疼痛、苏醒时间和不良反应发生率。结果:T1时间下两组患者的心率、平均动脉压和血氧饱和度均无明显差异,P>0.05,在T2时间下,两组患者的心率和平均动脉压均发生变化,P<0.05,血氧饱和度指标则无明显变化,P>0.05,其中实验组患者的心率值和平均动脉压分别为(122.34±10.32)次/min和(91.34±11.22)mmHg,均比对照组更加稳定,并且与对照组体征数据形成统计学差异,P<0.05。在给予患者麻醉干预后,实验组患者的术后疼痛评分和术后苏醒时间分别为(3.24±0.54)分和(5.44±2.76)min,均比对照组低,与对照组数据形成统计学差异,P<0.05。此外,两组患者均出现并发症,其中实验组患者的发生率为6.00%,对照组患者的发生率为22.00%,相比之下,实验组患者的发生率更低,两组数据差异存在统计学意义,P<0.05。结论:将喉罩全麻+联合臂丛神经阻滞麻醉法应用在上肢手术患者中,可促进患者麻醉苏醒,避免患者手术疼痛,降低患者不良反应发生率,应用价值较高。Objective:To explore the clinical effect of laryngeal mask anesthesia+brachial plexus block in the implementation of upper extremity surgery.Methods:Patients in our hospital were selected as research objects,and the study was carried out from January 2021 to January 2023.100 patients receiving upper limb surgery during this period were divided into two groups by random number table method.One group was given tracheal intubation general anesthesia(n=50)and named control group;The other group was given laryngeal mask general anesthesia combined with brachial plexus block anesthesia(n=50).The two groups were named the experimental group,and the hemodynamic indexes,pain,recovery time and incidence of adverse reactions were compared and analyzed.Results:There were no significant differences in heart rate,mean arterial pressure and blood oxygen saturation between the two groups at T1,which was P>0.05.At T2,heart rate and mean arterial pressure of the two groups all changed(P<0.05),while oxygen saturation index of the two groups had no significant changes(P>0.05).The heart rate and mean arterial pressure of the experimental group were(122.34±10.32)times/min and(91.34±11.22)mmHg,respectively,which were more stable than the control group,and the physical signs of the control group were statistically different(P<0.05).After anesthesia intervention,the postoperative pain score and postoperative recovery time of the experimental group were(3.24±0.54)points and(5.44±2.76)min,respectively,which were lower than the control group,and the data of the control group were statistically different(P<0.05).In addition,complications occurred in both groups,with the incidence of 6.00%in the experimental group and 22.00%in the control group.In contrast,the incidence of patients in the experimental group was lower,and the data difference between the two groups was statistically significant(P<0.05).Conclusion:Laryngeal mask general anesthesia combined with brachial plexus block anesthesia in upper extremity surgery patients,the clinical

关 键 词：喉罩全麻 臂丛神经阻滞 上肢手术 应用效果 

分 类 号：R614[医药卫生—麻醉学]