CAJ | 학술논문

目的：观察用神经刺激仪定位喙突下臂丛神经阻滞的临床效应。方法将80例ASA Ⅰ~Ⅱ级骨科肘关节以下部位择期手术患者按照随机数字表达法分为喙突下组(A组)和腋路组(B组)，每组40例。分别应用神经刺激仪进行喙突下和腋路途径施行臂丛神经阻滞。记录两组阻滞起效时间和维持时间；比较臂丛阻滞效果及感觉阻滞成功率；记录副作用；评价综合满意度。结果同样浓度容量的局麻药，阻滞起效时间A组较B组短(P<0．05)；维持时间两组间比较差异无统计学意义(P>0．05)。桡神经、肌皮神经、腋神经、前臂内侧皮神经、正中神经感觉完全阻滞率A组为93．3%~100%，明显高于B组的60．0%~86．7%( P<0．05)；两组尺神经感觉完全阻滞率均为100%。两组均无副作用发生；综合满意度A组较B组高( P<0．05)。结论用神经刺激仪定位喙突下臂丛阻滞操作简便，阻滞起效时间短，阻滞成功率高，效果确切。
목적：관찰용신경자격의정위훼돌하비총신경조체적림상효응。방법장80례ASA Ⅰ~Ⅱ급골과주관절이하부위택기수술환자안조수궤수자표체법분위훼돌하조(A조)화액로조(B조)，매조40례。분별응용신경자격의진행훼돌하화액로도경시행비총신경조체。기록량조조체기효시간화유지시간；비교비총조체효과급감각조체성공솔；기록부작용；평개종합만의도。결과동양농도용량적국마약，조체기효시간A조교B조단(P<0．05)；유지시간량조간비교차이무통계학의의(P>0．05)。뇨신경、기피신경、액신경、전비내측피신경、정중신경감각완전조체솔A조위93．3%~100%，명현고우B조적60．0%~86．7%( P<0．05)；량조척신경감각완전조체솔균위100%。량조균무부작용발생；종합만의도A조교B조고( P<0．05)。결론용신경자격의정위훼돌하비총조체조작간편，조체기효시간단，조체성공솔고，효과학절。
Objective To study the clinical effects of subcoracoid brachial plexus block for orthopaedic upper extremi-ty surgery with a nerve stimulator. Methods 80 cases of ASAⅠ~Ⅱelective orthopedic below elbow surgery were randomly divided into digital expression under the coracoid process( group A) and axillary ( group B) , 40 patients in each group. All cases were carried out using a nerve stimulator under the coracoid process and the implementation of axillary brachial plexus block pathways, recording two block onset time and duration;comparing the effect of brachial plexus block and sensory block success rate; recording side effects and comprehensive evaluation satisfaction. Re-sults With the same volume of local anesthetic concentration, block onset time was shorter in group A than in group B ( P <0. 05 ) , and maintaining the time difference between the two groups was not statistically significant ( P >0. 05). Group A of radial, musculocutaneous, axillary, medial forearm, medial cutaneous nerve of the arm, the me-dian nerve sensory block success rate was 93. 3% ~100%, significantly higher than group B 60. 0% ~86. 7% ( P<0. 05);ulnar nerve barrier stagnation success rate was 100%. The occurrence of side effects were similar; Overall satisfaction group A was higher (P<0. 05) than in group B. Conclusions With a nerve stimulator to locate the cor-acoid brachial plexus block is simple, block onset time is short, with high block success rate, and the exact effect.