中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
z1期
16-17
,共2页
一针穿刺法%肌间沟%臂丛神经阻滞%上肢及肩部手术
一針穿刺法%肌間溝%臂叢神經阻滯%上肢及肩部手術
일침천자법%기간구%비총신경조체%상지급견부수술
A needle biopsy method%Muscle ditch between%Brachial plexus block%Arm and shoulder surgery
目的 探讨按压肌间沟底部一针法臂丛神经阻滞在上肢及肩部手术中的麻醉效果.方法 将182例实施上肢及肩部手术患者,按随机数字表法分为按压肌间沟底部阻滞组(按压组,98例)和不压肌间沟阻滞组(非按压组,84例).比较两组神经阻滞效果及不并发症发生情况.结果 按压组对尺神经、正中神经、C4神经的感觉、运动神经阻滞率高于非按压组(P＜0.05),按压组神经阻滞优良率明显高于非按压组[97％(95/98)比73％(61/84),P＜0.05].两组并发症发生率比较差异无统计学意义(P＞0.05).结论 一针法按压肌间沟底部臂丛阻滞操作简单,无需特殊器械,臂丛神经阻滞完善,阻滞范围广,能够安全满意地完成上肢及肩部手术的要求.
目的 探討按壓肌間溝底部一針法臂叢神經阻滯在上肢及肩部手術中的痳醉效果.方法 將182例實施上肢及肩部手術患者,按隨機數字錶法分為按壓肌間溝底部阻滯組(按壓組,98例)和不壓肌間溝阻滯組(非按壓組,84例).比較兩組神經阻滯效果及不併髮癥髮生情況.結果 按壓組對呎神經、正中神經、C4神經的感覺、運動神經阻滯率高于非按壓組(P＜0.05),按壓組神經阻滯優良率明顯高于非按壓組[97％(95/98)比73％(61/84),P＜0.05].兩組併髮癥髮生率比較差異無統計學意義(P＞0.05).結論 一針法按壓肌間溝底部臂叢阻滯操作簡單,無需特殊器械,臂叢神經阻滯完善,阻滯範圍廣,能夠安全滿意地完成上肢及肩部手術的要求.
목적 탐토안압기간구저부일침법비총신경조체재상지급견부수술중적마취효과.방법 장182례실시상지급견부수술환자,안수궤수자표법분위안압기간구저부조체조(안압조,98례)화불압기간구조체조(비안압조,84례).비교량조신경조체효과급불병발증발생정황.결과 안압조대척신경、정중신경、C4신경적감각、운동신경조체솔고우비안압조(P＜0.05),안압조신경조체우량솔명현고우비안압조[97％(95/98)비73％(61/84),P＜0.05].량조병발증발생솔비교차이무통계학의의(P＞0.05).결론 일침법안압기간구저부비총조체조작간단,무수특수기계,비총신경조체완선,조체범위엄,능구안전만의지완성상지급견부수술적요구.
Objective Adopt the method of brachial plexus block by a noodle biopsy and pressing the root of interscalene,to discuss the effective of this method on the operation of shower and upper limb.Methods Summarize 182 cases of patients who got the upper limb operation,compared the patients adopting a noodle biopsy and pressing the root of interscalene to block,to the cases which un-pressing the interscalene.Evaluate the anesthesia on sense and movement and record the complicating disease.Results It got a satisfied result from a noodle biopsy and pressing the root of interscalene to block.In this case,all of the sense and movement including shower has disappeared,and has absolutely effect on analgesia.All of the patients avoid to be used herbal supplements and however to complicating symptom.Good rate 97％,compared to 73％ cases of un-pressing.Pressing the interscalene to block is better than un-pressing,on feet nerve,axillary nerves,the median nerve and C4 nerve.Conclusion A noodle biopsy and pressing the root of interscalene to block is a effective and simple method,it needn't special equipment and has a absolutely and extensively block result on the shower and upper limb operation.
