超声引导臂丛神经阻滞麻醉在肱骨远端C型骨折患者的应用效果  

Application of Ultrasound-Guided Brachial Plexus Block Anesthesia in Patients with Distal Humerus Type C Fracture

作　　者：要新宇 乔路筱 YAO Xinyu;QIAO Luxiao(Department of anesthesiology,Tianjin baodi district people's hospital,Tianjin 301800;Department of ultrasound,Tianjin baodi district people's hospital)

机构地区：[1]天津市宝坻区人民医院麻醉科,天津301800 [2]天津市宝坻区人民医院超声科

出　　处：《中国伤残医学》2024年第4期64-67,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨超声引导臂丛神经阻滞麻醉在肱骨远端C型骨折患者的应用效果.方法:选取2020年3月-2023年1月我院收治的78例肱骨远端C型骨折患者为研究对象,根据1:1随机掷硬币原则将研究对象分为试验组与传统组,每组39例.传统组采用超声引导锁骨下肌间沟臂丛神经阻滞,试验组采用超声引导喙突旁臂丛神经阻滞.对比2组患者的阻滞效果.结果:试验组不同神经支配区麻醉起效时间均短于传统组,组间差异有统计学意义(P<0.05).试验组麻醉效果优良率高于传统组,差异有统计学意义(P<0.05).试验组并发症发生率低于传统组,差异有统计学意义(P<0.05).术后4、24、48 h,试验组VAS评分均低于传统组,差异有统计学意义(P<0.05).结论:相对于锁骨下肌间沟,超声引导喙突旁臂丛神经阻滞在肱骨远端C型骨折手术上的应用能加快神经支配起效时间,减少并发症的发生,可缓解患者的静息疼痛评分,提高总体麻醉阻滞效果.Objective:To investigate the effect of ultrasound-guided brachial plexus block anesthesia in patients with distal humerus type C fracture.Methods:78 patients with distal humerus type C fracture admitted to our hospital from March 2020 to January 2023 were selected as the study objects.According to the 1:1 random coin toss principle,the study objects were divided into an experimental group and a traditional group,with 39 cases in each group.The traditional group received ultrasound-guided brachial plexus block in subclavian intermuscular groove,and the experimental group received ultrasound-guided brachial plexus block in paracoracoid process.The resistance of the two groups was compared.Results:The onset time of anesthesia in different innervation areas in experimental groups was shorter than that in traditional group,and the difference between groups was statistically significant(P<0.05).The rate of excellent and good anesthetic effect in experimental group was higher than that in traditional group,and the differences were statistically significant(P<0.05).The complication rate of experimental group was lower than that of traditional group,and the difference was statistically significant(P<0.05).At 4,24 and 48 h after operation,the VAS scores of experimental groups were lower than those of traditional group,and the difference was statistically significant(P<0.05).Conclusion:Compared with the subclavian intermuscular groove,the application of ultrasound-guided paracoracoid brachial plexus block in the operation of distal humerus type C fracture can accelerate the onset time of innervation,reduce the occurrence of complications,reduce the resting pain score of patients,and improve the overall anesthesia block effect.

关 键 词：锁骨下肌间沟 超声 喙突旁臂丛 神经阻滞 肱骨远端C型骨折 

分 类 号：R683[医药卫生—骨科学]