CAJ | 학술논문

目的探讨改良(或修正)喙突入路和经典喙突入路定位对锁骨下臂丛神经阻滞的影响.方法对80例择期行臂丛神经阻滞手术的患者,随机分为2组,采用神经刺激器定位臂丛神经:A组以喙突内下2 cm为穿刺点(经典组)；B组穿刺点参考喙突内下2 cm,并用臂丛神经体表的投影对该穿刺点进行修正(改良组).记录两组患者操作时间、穿刺次数、阻滞成功率、并发症及患者的满意度.结果改良组的操作时间明显少于经典组(P＜0.01),且改良组无需调整阻滞针即可定位到臂丛神经的比例明显高于经典组(P＜0.05).结论改良喙突入路可以明显提高单次穿刺定位到神经的概率,且可减少操作时间,提高了穿刺点体表定位的准确性.
목적 탐토개량(혹수정)훼돌입로화경전훼돌입로정위대쇄골하비총신경조체적영향.방법 대80례택기행비총신경조체수술적환자,수궤분위2조,채용신경자격기정위비총신경:A조이훼돌내하2 cm위천자점(경전조)；B조천자점삼고훼돌내하2 cm,병용비총신경체표적 투영대해천자점진행수정(개량조).기록량조환자조작시간、천자차수、조체성공솔、병발증급환자적만의도.결과 개량조적조작시간명현소우경전조(P＜0.01),차개량조무수조정조체침즉가정위도비총신경적비례명현고우경전조(P＜0.05).결론 개량훼돌입로가이명현제고단차천자정위도신경적개솔,차가감소조작시간,제고료천자점체표정위적준학성.
Objective To investigate the impact of the modified and classic coracoid approach for localization in the infraclavicular brachial plexus nerve block.Methods Eighty patients schedtded for elective surgical procedures under infraclavicular brachial plexus block were randomly divided into two groups.The puncture point of Group A was the classic Wilson's approach via the point 2 cm medial and caudal to the coracoid process.The puncture point of Group B was modified by surface projection of the brachial plexus.Peripheral nerve stimulator was used to confirm the proper localization of the plexus.The performance time,the number of puncture,the anesthesia success rate,the incidence of complications and patient satisfaction were recorded.Results The performance time of the modified group was less than that of the classic group (P ＜ 0.01).The chance of locating the bmchial plexus in a single puncture without adjusting the block needle was significantly higher in the modified group (P ＜ 0.05).Conclusion The modified coracoid approach can significantly improve the probability of locating the nerve in one puncture that reduces the performance time.It improves the accuracy of puncture point position on the body surface.