CAJ | 학술논문

目的：观察分析神经刺激器定位肌间沟臂丛神经阻滞的效果。方法随机选取2014年6月1日至2015年1月1日期间我院的60例臂丛神经阻滞上肢手术的患者，根据定位方式分为对照组（30例）和试验组（30例）。给予对照组患者常规定位，给予试验组患者神经刺激器定位，观察、比较两组患者的麻醉效果。结果试验组的麻醉优良比（80．00％）优于对照组的麻醉优良比（3．33％），试验组的哌替啶剂量（22．1±10．1）mg优于对照组的哌替啶剂量（27．6±12．5）mg，试验组的并发症总发生率（3．33％）优于对照组的并发症总发生率（26．67％），P＜0．05，具有统计学意义。结论神经刺激器定位可帮助肌间沟臂丛神经阻滞的准确定位，改善麻醉效果，降低并发症发生率，可考虑于合理范围内加以推广应用。
목적：관찰분석신경자격기정위기간구비총신경조체적효과。방법수궤선취2014년6월1일지2015년1월1일기간아원적60례비총신경조체상지수술적환자，근거정위방식분위대조조（30례）화시험조（30례）。급여대조조환자상규정위，급여시험조환자신경자격기정위，관찰、비교량조환자적마취효과。결과시험조적마취우량비（80．00％）우우대조조적마취우량비（3．33％），시험조적고체정제량（22．1±10．1）mg우우대조조적고체정제량（27．6±12．5）mg，시험조적병발증총발생솔（3．33％）우우대조조적병발증총발생솔（26．67％），P＜0．05，구유통계학의의。결론신경자격기정위가방조기간구비총신경조체적준학정위，개선마취효과，강저병발증발생솔，가고필우합리범위내가이추엄응용。
Objective To observe and analyze the effect of biracial plexus block on locating inter-muscular groove.Methods Selected 60 patients who did inter-muscular groove operation from 1st, June 2014 to 1st, January 2015 in our hospital they were divided into control group (30 cases) and test group (30 cases) according to location method .Control group used routine location;test group used biracial plexus block location , observed and compared two groups'anesthesia effect .Results The excellent rate of test group's anesthesia effect (80.00%) was better than (3.33%) of control group, the dose of pethidine of test group (22.1 ±10.1)mg was better than(27.6 ±12.5) of control group, the rate of adverse reaction of test group (3.33%) was better than (26.67%) of control group ,P<0.05, with statistical significance .Conclusions Biracial plexus block location can accurately locate inter-muscular groove , improve the anesthesia effect , decrease adverse reaction rate , it is worthy of promotion in reasonable range .