CAJ | 학술논문

目的：观察超声引导技术在上肢手术患者神经阻滞中的应用效果。方法选择2012年1月～2013年12月在我院择期行上肢手术患者200例，随机分为两组各100例，A组使用传统的解剖定位法，B组采用超声引导技术定位，局麻药均使用1%利多卡因+0.375%罗哌卡因+地塞米松10mg的混合液。比较两组神经阻滞的效果：麻醉起效时间、麻醉成功率、麻醉药使用量、并发症的发生率。结果麻醉操作完成时间：B组比A组短；神经阻滞起效时间：B组比A组长；B组麻醉效果好，优秀率达到97.00%，优良率达到100.00％，A组麻醉效果一般，优秀率47.00%，优良率91.00％；B组不良反应发生率为2.00%，A组高达9.00%；A、B两组比较差异均有统计学意义（P＜0.05）。而麻醉持续时间差异无统计学意义（P＞0.05）。结论超声引导技术运用到上肢神经阻滞中能提高麻醉效果，减少麻醉药物用量，减少并发症与不良反应。
목적：관찰초성인도기술재상지수술환자신경조체중적응용효과。방법선택2012년1월～2013년12월재아원택기행상지수술환자200례，수궤분위량조각100례，A조사용전통적해부정위법，B조채용초성인도기술정위，국마약균사용1%리다잡인+0.375%라고잡인+지새미송10mg적혼합액。비교량조신경조체적효과：마취기효시간、마취성공솔、마취약사용량、병발증적발생솔。결과마취조작완성시간：B조비A조단；신경조체기효시간：B조비A조장；B조마취효과호，우수솔체도97.00%，우량솔체도100.00％，A조마취효과일반，우수솔47.00%，우량솔91.00％；B조불량반응발생솔위2.00%，A조고체9.00%；A、B량조비교차이균유통계학의의（P＜0.05）。이마취지속시간차이무통계학의의（P＞0.05）。결론초성인도기술운용도상지신경조체중능제고마취효과，감소마취약물용량，감소병발증여불량반응。
Objective To observe the clinical effect of ultrasound-guided technology in the operation of upper limb in patients with nerve block. Methods Two huandred patients had be performed upper limb operation in our hospital form Jan2012 to Dec 2013 were randomly divided into two groups, 100 cases of each group, group A who was guided by tra-ditional anatomical method;group B who was guided by ultrasound-guided positioning technolog, 1% Lignocaine +0.375%Ropivacaine+10 mg Dexamethasone were injected in two groups. Comparison of the effect of two groups nerve block: the onset time of anesthesia, success rate, the amount, complications. Results Anesthesia operation completion time, group B was shorter than group A (TA=7.7±1.9min, TB=4.6±1.4min);Nerve block work time, group B was longer than groupA(TA=19.4±3.4min, TB=10.7±2.3min);group B anesthesia effect was good, with excellence rate reached 97%and fine rate was 100.00%;group A anesthesia effect was general, excellence rate reached 47.00%,fine rate was 91.00%;group B adverse reactions incidence was 2.00%, group A was up to 9.00%;compared the above group A and B related datas of difference was statistically significant (P<0.05).The duration of anesthesia (TA=417.5±98.7min, TB=406.3±79.1min), the more similar between two groups had no statistical significance (P>0.05). Conclusion Ultrasound-guided technology was applied to the upper limb brachial plexus block, which could enhance the effect of nesthesia, re-duce the dosage of anesthetic drug ,complications and adverse reaction.