CAJ | 학술논문

目的：比较颈浅丛神经阻滞联合喉罩全麻与单纯喉罩全麻用于锁骨骨折手术的麻醉效果。方法选择单侧锁骨骨折的患者80例，年龄20~60岁，体重45~80kg， ASA分级1~2级，随机分为A、B两组：A组患者做颈浅丛神经阻滞复合喉罩全身麻醉，B组患者做单纯喉罩全身麻醉。分别记录两组患者手术术中麻醉效果评价，观察两组患者术后2、6、12、24h的视觉模拟疼痛VAS评分并记录相关不良反应的发生情况。结果两组麻醉效果评价A组要明显高于 B组，A组术后2、6、12、24h的视觉模拟疼痛 VAS评分明显低于 B组，具有统计学意义（P<0.05）。结论在锁骨骨折手术中采取颈浅丛神经阻滞联合喉罩全麻是一种安全，简单有效的麻醉方法。
목적：비교경천총신경조체연합후조전마여단순후조전마용우쇄골골절수술적마취효과。방법선택단측쇄골골절적환자80례，년령20~60세，체중45~80kg， ASA분급1~2급，수궤분위A、B량조：A조환자주경천총신경조체복합후조전신마취，B조환자주단순후조전신마취。분별기록량조환자수술술중마취효과평개，관찰량조환자술후2、6、12、24h적시각모의동통VAS평분병기록상관불량반응적발생정황。결과량조마취효과평개A조요명현고우 B조，A조술후2、6、12、24h적시각모의동통 VAS평분명현저우 B조，구유통계학의의（P<0.05）。결론재쇄골골절수술중채취경천총신경조체연합후조전마시일충안전，간단유효적마취방법。
Objective To compare the anesthetic ef ect of superficial cervical plexus block in combination with laryngeal masks general anesthesia and simple laryngeal masks general anesthesia in the surgery of clavicular fracture. Methods 80 patients with unilateral clavicular fracture was selected. They ranged in age from 20 to 60 and body weight from 45kg to 80kg. The ASA classification was ranged from I to I . These patients were divided into group A and group B randomly. Superficial cervical plexus block in combination with laryngeal masks general anesthesia was applied to group A and simple laryngeal masks general anesthesia was applied to group B. The anesthetic ef ect evaluation for the two groups of patients in the surgery was respectively recorded. At 2, 6, 12 and 24 hours after the surgery, the visual analogue pain scales (VAS) for the two groups of patients were observed and the occur ence of relevant adverse reactions was recorded. Results The anesthetic ef ect evaluation of group A was obviously higher than that of group B. The visual analogue pain scales (VAS) of group A were obviously lower than that of group B at 2, 6, 12 and 24 hours after the surgery, which has statistical significance (P<0.05). Conclusion In the surgery of clavicular fracture, employing superficial cervical plexus block in combination with laryngeal masks general anesthesia is a safe, simple and ef ective anesthetic method.