贵州医科大学学报

2016, v.41;No.195(12) 1470-1473

[打印本页] [关闭]
本期目录(Current Issue) | 过刊浏览(Past Issue) | 高级检索(Advanced Search)

超声定位下行锁骨下喙突入路臂丛麻醉的效果及安全性
Analysis of Efficacy and Safety of Anesthesia in Ultrasound Guided Infraclavicular Coracoid Approach of Brachial Plexus

叶伦辉;石宗莉;陈莉;刘艳;甘元东;杨秋菊;
YE Lunhui;SHI Zongli;CHEN Li;LIU Yan;GAN Yuandong;YANG Qiuju;Department of Anesthesiology,the Thirteenth People's Hospital of Chongqing;

摘要(Abstract):

目的:探讨超声定位行锁骨下喙突入路臂丛神经麻醉的效果及安全性。方法:选取行前臂和手部手术的90例患者随机均分为A、B两组,A组采用超声定位锁骨下喙突入路臂丛麻醉,B组采用超声腋窝处定位臂丛麻醉;观察两组患者的正中神经、尺神经、肌皮神经、臂内侧皮神经的痛觉消失时间,测定两组患者臂丛神经阻滞效果、阻滞后肌力及并发症情况。结果:A组和B组患者的正中神经、尺神经、肌皮神经、臂内侧皮神经的痛觉消失时间差异无统计学意义(P>0.05),A组患者的桡神经、前臂内侧皮神经的痛觉消失时间显著短于B组患者(P<0.05);神经阻滞20 min后,A组患者的前臂内侧皮神经的痛觉完全阻滞率高于B组患者(P<0.05),A组和B组患者的肌力分布差异无统计学意义(P>0.05);A组未出现刺破血管、气胸、局麻醉药中毒等并发症,B组出现3例刺破血管、2例轻度局麻药中毒,A组的麻醉并发症率显著低于B组(χ~2=5.294,P=0.021)。结论:超声定位定位锁骨下喙突入路臂丛神经麻醉的效果好安全性高。
Objective:To investigate the effectiveness and safety of anesthesia in ultrasound guided infraclavicular coracoid approach of brachial plexus.Methods:90 cases of forearm and hand surgery patients were enrolled in the research object,and divided into group A and group B(45 cases in each group).Group A were treated with ultrasound guided infraclavicular coracoid approach brachial plexus anesthesia,while group B was treated with ultrasound at the location of axillary brachial plexus anesthesia.The median nerve,ulnar nerve,muscle cutaneous nerve,the medial brachial cutaneous nerve pain disappearing time were compared between the two groups.The brachial plexus nerve block effect,posterior muscle strength and complications were measured in the two groups of patients.Results:There were no statistically significant differences between group A and group B in pain disappearing time of the median nerve,ulnar nerve,muscle cutaneous nerve,medial brachial cutaneous nerve(P>0.05).However,the pain disappearing time of radial nerve and medial cutaneous nerve of forearm in group A was significantly shorter than those in group B(P<0.05).After 20 min of nerve block,the complete block rate of pain of the medial forearm cutaneous nerve of a group was higher than that of group B(P<0.05),but there was no statistically significant difference in the muscle strength distribution between the group A and group B(P>0.05).There existed no vascular puncture,pneumothorax,local anesthetics poisoning and other complications in group A,and there were 3 cases of vascular puncture and 2 cases of mild local anesthetics poisoning in group B.The anesthesia complication rate in group A was significantly lower than that of group B(χ~2=5.294,P=0.021).Conclusion:Anesthesia in ultrasound guided infraclavicular coracoid approach of brachial plexus has good effect,quick effect,less complications.

关键词(KeyWords): 超声检查;锁骨;喙突入路;臂丛神经;麻醉
ultrasonography;clavicle;coracoid approach;brachial plexus;anesthesia

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 叶伦辉;石宗莉;陈莉;刘艳;甘元东;杨秋菊;
YE Lunhui;SHI Zongli;CHEN Li;LIU Yan;GAN Yuandong;YANG Qiuju;Department of Anesthesiology,the Thirteenth People's Hospital of Chongqing;

Email:

DOI: 10.19367/j.cnki.1000-2707.2016.12.024

参考文献(References):

文章评论(Comment):

序号(No.) 时间(Time) 反馈人(User) 邮箱(Email) 标题(Title) 内容(Content)
反馈人(User) 邮箱地址(Email)
反馈标题(Title)
反馈内容(Content)
扩展功能
本文信息
服务与反馈
本文关键词相关文章
本文作者相关文章
中国知网
分享