CAJ | 학술논문

目的：对比分析臂丛肌间沟两点法阻滞麻醉和臂丛腋路两点法阻滞麻醉在急诊小儿手外伤手术中的应用价值。方法急诊就诊拟行手外伤手术的儿童88例，按照随机数字表法分为肌间沟组和腋路组，每组44例。肌间沟组采用臂丛肌间沟两点法进行阻滞麻醉，腋路组采用臂丛腋路两点法进行阻滞麻醉。对两组患儿麻醉参数、麻醉效果和不良反应进行统计分析。结果腋路组操作时间、起效时间和完全阻滞时间明显优于肌间沟组(P<0.05)；腋路组麻醉有效率95.45%较之肌间沟组患儿93.18%(P>0.05)；腋路组不良反应发生率为4.55%明显低于肌间沟组的18.18%(P<0.05)。结论臂丛腋路两点法阻滞麻醉在急诊小儿手外伤手术中的不良反应发生率低，能达到急诊小儿麻醉快速、安全的要求。
목적：대비분석비총기간구량점법조체마취화비총액로량점법조체마취재급진소인수외상수술중적응용개치。방법급진취진의행수외상수술적인동88례，안조수궤수자표법분위기간구조화액로조，매조44례。기간구조채용비총기간구량점법진행조체마취，액로조채용비총액로량점법진행조체마취。대량조환인마취삼수、마취효과화불량반응진행통계분석。결과액로조조작시간、기효시간화완전조체시간명현우우기간구조(P<0.05)；액로조마취유효솔95.45%교지기간구조환인93.18%(P>0.05)；액로조불량반응발생솔위4.55%명현저우기간구조적18.18%(P<0.05)。결론비총액로량점법조체마취재급진소인수외상수술중적불량반응발생솔저，능체도급진소인마취쾌속、안전적요구。
Objective To comparatively analyze the application value of brachial plexus block anesthesia of two-point method and axillary two-point method of block anesthesia in the treatment of pediatric hand trauma. Methods Chose 88 cases of children with hand injury operation in Emergency Department of our hospital. Randomly divided them into interscalene group and axillary group, 44 cases for each group. interscalene group for block anesthesia with brachial plexus interscalene two-point method, axillary group for brachial plexus block anesthesia with axillary two-point method. Statistical analysis was performed on the anesthesia parameters, anesthetic effects and adverse reaction of two groups. Results The axillary group with operation time, onset time and complete block time significantly better than interscalene group(P<0.05);the efficiency of axillary group was 95.45%compared with interscalene group 93.18%(P>0.05);the incidence of adverse reactions of axillary group 4.55%significantly lower than the interscalene group 18.18%(P<0.05). Conclusion The adverse reaction of axillary brachial plexus block anesthesia of two-point method has a low adverse effect rate in the emergency treatment of pediatric hand injury safely and quickly.