CAJ | 학술논문

目的观察采用神经刺激器辅助定位在臂丛阻滞中的麻醉效果和安全性。方法将60例行上肢手术的患者随机分为 A、B两组，每组30例。A组采用神经刺激器辅助定位，B组采用异感定位。局部麻醉药均为0．5％布比卡因。结果 A组神经阻滞完全27例，阻滞不全3例；B组神经阻滞完全23例，阻滞不全6例，阻滞失败1例。 A组神经阻滞的成功率显著高于B组，差异有统计学意义(P<0．05)。结论神经刺激器辅助定位用于臂丛阻滞，操作方便，麻醉效果满意，与传统异感法相比，阻滞成功率高。
목적관찰채용신경자격기보조정위재비총조체중적마취효과화안전성。방법장60례행상지수술적환자수궤분위 A、B량조，매조30례。A조채용신경자격기보조정위，B조채용이감정위。국부마취약균위0．5％포비잡인。결과 A조신경조체완전27례，조체불전3례；B조신경조체완전23례，조체불전6례，조체실패1례。 A조신경조체적성공솔현저고우B조，차이유통계학의의(P<0．05)。결론신경자격기보조정위용우비총조체，조작방편，마취효과만의，여전통이감법상비，조체성공솔고。
Objective: To observe ef ect and safety using nerve stimulator-assisted positioning of the brachial plexus anesthetic. Methods: 60 patients of upper limb operation were randomly divided into A, B two groups, 30 patients in each group. Group A was treated with nerve stimulator location, group B with paresthesia positioning. Local anesthetics are 0.5% bupivacaine. Results: in group A, nerve block anesthesia in 27 cases, block failure in 3 cases; group B nerve block anesthesia in 23 cases, block failure in 6 cases, 1 cases of block failure. A group of nerve block success rate was significantly higher than that in B group, the dif erence was statistical y significant (P<0.05). Conclusion: the nerve stimulator location for brachial plexus block, convenient operation, anesthesia, compared with the traditional method of abnormal sensation, success rate is high.