超声引导下锁骨上臂丛联合前臂尺神经阻滞在手部尺侧手术中的应用效果  

Application Effect of Ultrasound-guided Supraclavicular Brachial Plexus Combined with Forearm Ulnar Nerve Block in Hand Ulnar Surgery

作　　者：钟永灿 郭志杰 蔡晶莹 蔡水民 ZHONG Yongcan;GUO Zhijie;CAI Jingying;CAI Shuimin(Department of Anesthesiology,Jinjiang Hospital of Traditional Chinese Medicine,Jinjiang 362200,China;不详)

机构地区：[1]晋江市中医院麻醉科,福建晋江362200

出　　处：《中国医学创新》2024年第36期47-51,共5页Medical Innovation of China

基　　金：福建中医药大学2022年校管科研课题项目(XB2022064)。

摘　　要：目的:探究超声引导下锁骨上臂丛联合前臂尺神经阻滞在手部尺侧手术中的应用效果。方法:选取2023年3月—2024年3月在晋江市中医院择期接受神经阻滞下手部尺侧手术的60例患者作为研究对象,根据神经阻滞方式不同将患者分为SU组(超声引导下锁骨上臂丛联合前臂尺神经阻滞,n=30)和S组(超声引导下锁骨上臂丛阻滞,n=30)。比较两组阻滞操作时间、阻滞完善时间、麻醉总时间、尺神经感觉阻滞效果、手术区域麻醉效果及并发症发生情况。结果:SU组阻滞操作时间明显长于S组,阻滞完善时间、麻醉总时间均明显短于S组,尺神经感觉阻滞效果、手术区域麻醉效果均明显优于S组,差异均有统计学意义(P<0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论:在手部尺侧手术患者中,超声引导下锁骨上臂丛联合前臂尺神经阻滞可提供更完善的手术区域麻醉效果、缩短阻滞完善时间和麻醉总时间。Objective:To explore the effect of ultrasound-guided supraclavicular brachial plexus combined with forearm ulnar nerve block in hand ulnar surgery.Method:A total of 60 patients who received hand ulnar surgery under nerve block in Jinjiang Hospital of Traditional Chinese Medicine from March 2023 to March 2024 were selected as the study objects.According to different nerve block methods,the patients were divided into SU group(ultrasound-guided supraclavicular brachial plexus combined with forearm ulnar nerve block,n=30)and S group(ultrasound-guided supraclavicular brachial plexus block,n=30).The surgery time,perfect time,total time of anesthesia,sensory block effect of ulnar nerve,anesthesia effect of operative area and complications were compared between the two groups.Result:The block surgery time of SU group was significantly longer than that of S group,the block completion time and the total anesthesia time were significantly shorter than those of S group,and the sensory block effect of ulnar nerve and the anesthesia effect of surgical area were significantly better than those of S group,the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion:In patients undergoing hand ulnar surgery,ultrasoundguided supraclavicular brachial plexus combined with ulnar nerve block of the forearm can provide better regional anesthesia,shorten the time of block completion and the total time of anesthesia.

关 键 词：超声 锁骨上臂丛阻滞 尺神经阻滞 

分 类 号：R614[医药卫生—麻醉学]