CAJ | 학술논문

目的评价腋路两点法连续臂丛神经阻滞用于肘部以下手术的麻醉效果。方法选择160例行前臂、手部手术的患者，评估感觉和运动神经的阻滞程度，手术过程中的麻醉效果，同时观察中毒反应、血管神经损伤等麻醉并发症的发生情况。结果以单支神经比较，两点组桡神经、肌皮神经阻止的成功率较单点组高，其他3支神经阻止成功率两组间差异无统计学意义；但肘部以下5支神经的阻滞总成功率两点组高于单点组。两组间麻醉并发症发生率差异无统计学意义。结论两点法连续臂丛阻滞具有成功率高、阻滞更完善、并发症少的优点。
목적평개액로량점법련속비총신경조체용우주부이하수술적마취효과。방법선택160례행전비、수부수술적환자，평고감각화운동신경적조체정도，수술과정중적마취효과，동시관찰중독반응、혈관신경손상등마취병발증적발생정황。결과이단지신경비교，량점조뇨신경、기피신경조지적성공솔교단점조고，기타3지신경조지성공솔량조간차이무통계학의의；단주부이하5지신경적조체총성공솔량점조고우단점조。량조간마취병발증발생솔차이무통계학의의。결론량점법련속비총조체구유성공솔고、조체경완선、병발증소적우점。
objective evaluation of axillary two-point method of continuous brachial plexus block for elbow following operation anesthesia. Methods 160 cases of forearm, hand operation patients, assessment of sensory and motor nerve blockade, operation process of the anesthetic effect, simultaneous observation of toxic reaction, vascular and nerve injury and anesthesia complications. Results in a single nerve in comparison, two groups of radial nerve, musculocutaneous nerve block success rate than single point group, the other 3 nerve block success rate difference between the two groups was not statistically significant; but below the elbow 5 nerve block for total success rate of two group was higher than that of single point group. Anesthesia complication rates between the two groups had no significant difference. Conclusion the two-point method of continuous brachial plexus block with a high success rate, block is more perfect, the advantages of fewer complications.