CAJ | 학술논문

目的：探讨超声引导下肌间沟臂丛神经阻滞的临床应用价值。方法选取2013年3月至2013年9月间于广州南方医院和我院行上肢手术治疗的患者64例，随机分为对照组和观察组，对照组患者行传统解剖定位肌间沟臂丛神经阻滞，观察组患者行超声引导下肌间沟臂丛神经阻滞，观察两组的各项指标、麻醉效果及并发症。结果观察组患者麻醉效果优良率明显高于对照组；观察组患者麻醉操作时间、起效时间、完全阻滞时间、维持时间均明显短于对照组；观察组患者并发症发生率明显低于对照组。结论超声引导下肌间沟臂丛神经阻滞安全、有效，麻醉效果佳，麻醉并发症少，值得推广。
목적：탐토초성인도하기간구비총신경조체적림상응용개치。방법선취2013년3월지2013년9월간우엄주남방의원화아원행상지수술치료적환자64례，수궤분위대조조화관찰조，대조조환자행전통해부정위기간구비총신경조체，관찰조환자행초성인도하기간구비총신경조체，관찰량조적각항지표、마취효과급병발증。결과관찰조환자마취효과우량솔명현고우대조조；관찰조환자마취조작시간、기효시간、완전조체시간、유지시간균명현단우대조조；관찰조환자병발증발생솔명현저우대조조。결론초성인도하기간구비총신경조체안전、유효，마취효과가，마취병발증소，치득추엄。
Objective To study between muscle under the guidance of ultrasound ditch the clinical value of brachial plexus block. Methods Selected line of upper limbs of surgical treatment of 64 cases of patients in guangzhou nanfang hospital and our hospital from March 2013 to September 2013, divided into control group and observation group randomly, control group patients between traditional anatomical muscle ditch brachial plexus block, observation group patients between muscle under the ditch brachial plexus nerve block guided by ultrasound, observe the two groups of indicators, the anesthesia effect and complications. Results Observation group of patients with anesthesia was significantly higher than the control group: Observation group of patients anesthesia operation time, work time, completely block time, maintain time were significantly shorter than the control group: The complication rate of observation group of patients significantly lower than the control group.Conclusion Ultrasound guided groove between muscle brachial plexus block is safe, effective, good anaesthesia effect, less anesthesia complications, worthy of promotion.