CAJ | 학술논문

目的:观察改良低位肌间沟臂丛阻滞方法在锁骨骨折手术中的效果.方法:选择ASA I~II级需手术治疗的锁骨骨折患者共180例,随机分为实验组(90例)、对照组(90例),实验组采用改良低位肌间沟臂丛阻滞,对照组采用传统的肌间沟臂丛阻滞,使用三级评定法比较两组患者的麻醉效果,观察两组患者术前和分离骨折周围筋膜组织时的血流动力学变化,记录不良反应.结果:实验组的麻醉效果优于对照组,两组比较差异有统计学意义(P<0.05);麻醉效果有效率实验组95.6%,对照组为86.7%,两组比较差异有统计学意义(P<0.05);实验组的不良反应发生率低于对照组,差异有统计学意义(P<0.05).结论:改良低位肌间沟臂丛阻滞用于锁骨骨折操作简单,成功率高,并发症少.
목적:관찰개량저위기간구비총조체방법재쇄골골절수술중적효과.방법:선택ASA I~II급수수술치료적쇄골골절환자공180례,수궤분위실험조(90례)、대조조(90례),실험조채용개량저위기간구비총조체,대조조채용전통적기간구비총조체,사용삼급평정법비교량조환자적마취효과,관찰량조환자술전화분리골절주위근막조직시적혈류동역학변화,기록불량반응.결과:실험조적마취효과우우대조조,량조비교차이유통계학의의(P<0.05);마취효과유효솔실험조95.6%,대조조위86.7%,량조비교차이유통계학의의(P<0.05);실험조적불량반응발생솔저우대조조,차이유통계학의의(P<0.05).결론:개량저위기간구비총조체용우쇄골골절조작간단,성공솔고,병발증소.
@@@@Objective:Observed improved low muscle brachial plexus block clavicle fracture effect of the surgery.Methods:The ASA I~II level required surgery clavicle fractures in patients with a total of 180 cases were randomly divided into experimental group (90 patients) in the control group (90 cases), the experimental group using modified low muscle interscalene brachial plexus block, control group usingthe effect of traditional interscalene brachial plexus block anesthesia, the two groups were compared using three evaluation method, hemodynamic changes recorded adverse reactions observed two groups of patients before and separation fractures around fascia tissue. Result:Anesthetic effect of the experimental group than the control group, the difference was statistically significant (P<0.05);anesthetic effect the efficiency of the experimental group was 95.6%, and 86.7% in the control group, the difference was statistically significant (P<0.05); incidence of adverse reactions of the experimental group than the control group, the difference was statistically significant(P<0.05). Conclusion: Improved low interscalene brachial plexus block for simple operation, high success rate, fewer complications of clavicle fractures.