CAJ | 학술논문

目的：比较手部断指行再植手术采用肌间沟联合腋路臂丛神经实施阻滞同单纯实施肌间沟阻滞的临床效果。方法90例行断指再植术患者随机分为A、B、C三组，A组(30例)实施肌间沟臂丛神经阻滞，B组(30例)实施腋路臂丛神经阻滞，C组(30例)实施肌间沟联合腋路臂丛神经阻滞。对患者的感觉阻滞情况及麻醉效果进行评价。结果 C组感觉阻滞起效时间为3.44±1.36min，明显短于A组（3.82±1.91min）和B组（5.25±1.52min）（P＜0.05）。 C组麻醉效果为100%，明显优于A组的90.0%和B组的93.3%（P＜0.05）。结论断指再植术采用肌间沟联合腋路臂丛神经实施阻滞，阻滞和麻醉效果显著，值得推广应用。
목적：비교수부단지행재식수술채용기간구연합액로비총신경실시조체동단순실시기간구조체적림상효과。방법90례행단지재식술환자수궤분위A、B、C삼조，A조(30례)실시기간구비총신경조체，B조(30례)실시액로비총신경조체，C조(30례)실시기간구연합액로비총신경조체。대환자적감각조체정황급마취효과진행평개。결과 C조감각조체기효시간위3.44±1.36min，명현단우A조（3.82±1.91min）화B조（5.25±1.52min）（P＜0.05）。 C조마취효과위100%，명현우우A조적90.0%화B조적93.3%（P＜0.05）。결론단지재식술채용기간구연합액로비총신경실시조체，조체화마취효과현저，치득추엄응용。
Objective To compare the clinical effect of severed fingers of hand lining replantation surgery with implementation block by interscalene joint axillary brachial plexus. Methods 90 pa-tients with severed fingers of hand lining replantation surgery were randomly divided into A, B, C three groups, A group (30 cases) was treated with implementation block by interscalene joint axil-lary brachial plexus, group B(30 cases) was treated with implementation block by axillary brachial plexus and group C (30 cases) was treated with implementation block by interscalene joint axillary brachial plexus. Feeling lock condition of the patients were evaluated. Results Onset time of sensory block in Group C was (3.44 ±1.36) min, it was significantly shorter than group A (3.82 ± 1.91min) and group B (5.25±1.52min)(P<0.05). Anesthesia effect of Group C was 100%.It was sig-nificantly better than group A (90.0%) and group B (93.3%) (P<0.05).Conclusion Replantation surgery of severed fingers of hand using implementation block by interscalene joint axillary brachial plexus, with significant effect of block and anesthetic, should be widely applied.