国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
16期
2336-2338
,共3页
李艳丽%汪友平%何光范%刘志平%裴广华%赖荣德%梁子敬
李豔麗%汪友平%何光範%劉誌平%裴廣華%賴榮德%樑子敬
리염려%왕우평%하광범%류지평%배엄화%뢰영덕%량자경
颈丛%臂丛%锁骨骨折%内固定术
頸叢%臂叢%鎖骨骨摺%內固定術
경총%비총%쇄골골절%내고정술
Cervical plexus nerve block%Brachial plexus block%Clavicle fracture%Internal fixation
目的 探讨两种不同的神经阻滞麻醉在锁骨骨折内固定术中的麻醉效果.方法 将52例行锁骨骨折内固定术的患者随机分为两组,每组26例.A组颈丛深浅支联合神经阻滞,B组单纯肌间沟臂丛神经阻滞.观察两组患者在麻醉前、切皮及骨折复位时的心电图(ECG)、非侵入性血压(NIBP)、心率(HR)、血氧饱和度(SpO2)和麻醉效果.结果 两组患者3个时间点的NIBP、HR比较,差异均有显著性(P< 0.05); A组的麻醉效果明显好于B组.结论 颈丛深浅支联合神经阻滞是锁骨骨折内固定术中较好、可行的一种麻醉方法.
目的 探討兩種不同的神經阻滯痳醉在鎖骨骨摺內固定術中的痳醉效果.方法 將52例行鎖骨骨摺內固定術的患者隨機分為兩組,每組26例.A組頸叢深淺支聯閤神經阻滯,B組單純肌間溝臂叢神經阻滯.觀察兩組患者在痳醉前、切皮及骨摺複位時的心電圖(ECG)、非侵入性血壓(NIBP)、心率(HR)、血氧飽和度(SpO2)和痳醉效果.結果 兩組患者3箇時間點的NIBP、HR比較,差異均有顯著性(P< 0.05); A組的痳醉效果明顯好于B組.結論 頸叢深淺支聯閤神經阻滯是鎖骨骨摺內固定術中較好、可行的一種痳醉方法.
목적 탐토량충불동적신경조체마취재쇄골골절내고정술중적마취효과.방법 장52례행쇄골골절내고정술적환자수궤분위량조,매조26례.A조경총심천지연합신경조체,B조단순기간구비총신경조체.관찰량조환자재마취전、절피급골절복위시적심전도(ECG)、비침입성혈압(NIBP)、심솔(HR)、혈양포화도(SpO2)화마취효과.결과 량조환자3개시간점적NIBP、HR비교,차이균유현저성(P< 0.05); A조적마취효과명현호우B조.결론 경총심천지연합신경조체시쇄골골절내고정술중교호、가행적일충마취방법.
Objective To investigate the effect of the two different nerve block anesthesia on clavicle fracture fixation.Methods 52 cases of clavicular fracture fixation were randomly divided into two groups (n =26):cervical plexus nerve block group (group A),Brachial plexus block group (group B).Non-invasive blood pressure (NIBP),heart rate (HR),oxygen saturation (SpO2) and electrocardiogram (ECG) were observed before anesthesia,incision,and fractures.We analyzed the anesthetic effect in different points time.Results ①Compared with the group B,three time points NIBP and HR of group A were statistically significant(P < 0.05),but there was no significant difference in the SpO2 between group A and group B (P> 0.05).②Compared with the group B,the anesthetic effect was statistically significant in group A(P < 0.05).Conclusion The depth and superficial cervical plexus nerve block is a better and feasible anesthetic method in clavicle fracture fixation.