CAJ | 학술논문

目的：探讨超声联合神经刺激器引导下臂丛神经阻滞在上肢手术中的应用效果。方法：选择上肢手术120例，随机分为3组，每组40例。A组为传统方法定位组，B组为神经刺激器定位组，C组为超声联合神经刺激器定位组。观察三组的臂丛神经阻滞麻醉起效时间、麻醉效果、麻醉持续时间、静脉辅助用药情况、不良反应（穿刺针误入血管、局麻药毒性反应、神经损伤、气胸）。结果：C组麻醉起效时间短于A组及B组（P＜0．05），C组麻醉效果优于A组及B组（P＜0．05），C组麻醉持续时间长于A组（P＜0．05），C组静脉辅助用药少于A组及B组（P＜0．05）， C组不良反应发生率小于A组及B组（P＜0．05）。结论：在上肢手术中使用超声联合神经刺激器引导下臂丛神经阻滞麻醉效果好，不良反应发生率低，值得临床推广。
목적：탐토초성연합신경자격기인도하비총신경조체재상지수술중적응용효과。방법：선택상지수술120례，수궤분위3조，매조40례。A조위전통방법정위조，B조위신경자격기정위조，C조위초성연합신경자격기정위조。관찰삼조적비총신경조체마취기효시간、마취효과、마취지속시간、정맥보조용약정황、불량반응（천자침오입혈관、국마약독성반응、신경손상、기흉）。결과：C조마취기효시간단우A조급B조（P＜0．05），C조마취효과우우A조급B조（P＜0．05），C조마취지속시간장우A조（P＜0．05），C조정맥보조용약소우A조급B조（P＜0．05）， C조불량반응발생솔소우A조급B조（P＜0．05）。결론：재상지수술중사용초성연합신경자격기인도하비총신경조체마취효과호，불량반응발생솔저，치득림상추엄。
Objectives :To Investigate the effect of brachial plexus nerve block guided by ultrasound combined with nerve stimulator in upper extremity surgery . Methods :120 cases of upper limb surgery patients were randomly divided into 3 groups ,40 cases of each group .Patients in Group A were done brachial plexus block by traditional methods .Patients in Group B were done brachial plexus guided by nerve stimulator .Patients in Group C were done brachial plexus guided by nerve stimulator and ultrasound .To observe the anesthesia effect of Brachial plexus block ,duration of anesthesia ,intravenous adjuvant ,and adverse reactions (needle strayed into the blood vessels ,local anesthetic toxicity ,nerve injury ,pneumothorax) .Results :Anesthetic effect of group C was better than group A and group B (P <0 .05) .Anesthesia duration time of group C was longer than group A (P <0 .05) .Intravenous adjuvant of group C was less than group A and group B (P <0 .05) .The incidence of adverse reactions of group C was less than group A and group B (P <0 .05) .Conclusions :The anesthetic effect of brachial plexus nerve block guided by ultrasound combined with nerve stimulator was good in upper extremity surgery ,and the incidence of adverse reactions was low ,so this method is worthy of promotion .