超声引导下肌间沟臂丛、腋路臂丛、肌皮神经、肋间臂神经阻滞在断指再植术中的麻醉效果  

Anesthesia Effects of Ultrasound-guided Intermuscular Sulcus Brachial Plexus, Axillary Brachial Plexus,Musculocutaneous Nerve and Intercostobrachial Nerve Block in Amputated Finger Replantation

作　　者：钟永灿 郭志杰 Zhong Yongcan;Guo Zhijie(Jinjiang Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Traditional Chinese Medicine,Jinjiang 362200,Fujian Province,China)

机构地区：[1]福建中医药大学附属晋江市中医院,福建晋江362200

出　　处：《中国社区医师》2023年第32期46-48,共3页Chinese Community Doctors

摘　　要：目的:分析超声引导下肌间沟臂丛、腋路臂丛、肌皮神经、肋间臂神经阻滞在断指再植术中的麻醉效果。方法:选取2018年1月—2022年10月在福建中医药大学附属晋江市中医院急诊拟行断指再植术的患者80例作为研究对象,随机分为观察组与对照组,各40例。观察组实施超声引导下肌间沟臂丛、腋路臂丛、肌皮神经、肋间臂神经阻滞,对照组实施超声引导下肌间沟臂丛、腋路臂丛神经阻滞。比较两组手术区域麻醉效果、不良反应发生情况及止血带反应发生情况。结果:两组手术区域麻醉效果比较,差异无统计学意义(P>0.05)。两组不良反应总发生率比较,差异无统计学意义(P>0.05)。观察组止血带反应发生率、需要辅助静脉麻醉药物占比低于对照组,止血带反应出现时间晚于对照组,疼痛程度低于对照组,差异有统计学意义(P<0.05)。结论:超声引导下肌间沟臂丛、腋路臂丛、肌皮神经、肋间臂神经阻滞在断指再植术中的麻醉效果好,可减少止血带反应。Objective:To analyze the anesthesia effects of ultrasound-guided intermuscular sulcus brachial plexus,axillary brachial plexus,musculocutaneous nerve and intercostobrachial nerve block in amputated finger replantation.Methods:From January 2018 to October 2022,80 patients undergoing amputated finger replantation in Jinjiang Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Traditional Chinese Medicine were selected as the study subjects.They were randomly divided into observation group and control group,with 40 cases in each group.The observation implemented ultrasound-guided intermuscular sulcus brachial plexus,axillary brachial plexus,musculocutaneous nerve and intercostobrachial nerve block,and the control group implemented ultrasound-guided intermuscular sulcus brachial plexus and axillary brachial plexus nerve block.The anesthesia effects in the operation area,adverse reactions and tourniquet reactions were compared between the two groups.Results:There was no significant difference in anesthesia effects in the operation area between the two groups(P>0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).In the observation group,the incidence of tourniquet reaction and the proportion of cases needing intravenous anesthetics were lower than those in the control group,the occurrence time of tourniquet reaction was later than that in the control group,and the pain degree was lower than that in the control group,with statistically significant differences(P<0.05).Conclusion:Ultrasound-guided intermuscular sulcus brachial plexus,axillary brachial plexus,musculocutaneous nerve and intercostobrachial nerve block achieve good anesthesia effects in replantation of amputated fingers and reduce tourniquet reaction.

关 键 词：臂丛神经阻滞 肌间沟臂丛 腋路臂丛 肌皮神经 肋间臂神经 断指再植术 

分 类 号：R614[医药卫生—麻醉学]