医学信息
醫學信息
의학신식
Medical Information
2015年
43期
58-59
,共2页
肥胖患者%上肢手术%超声%臂丛神经%麻醉
肥胖患者%上肢手術%超聲%臂叢神經%痳醉
비반환자%상지수술%초성%비총신경%마취
Obese patients%Limb surgery%Ultrasound%Brachial plexus%Anesthesia
目的研究超声引导下锁骨上臂丛神经阻滞在肥胖患者上肢手术应用中的可行性，为临床治疗提供理论指导。方法选择2012年6月~2014年6月于我院就诊的72例行上肢手术的肥胖患者为研究对象。随机平均分为观察组和对照组各36例，其中观察组在超声引导下进行锁骨上臂丛神经阻滞，对照组采用传统的异感法进行锁骨上臂丛神经阻滞。比较两种操作完成时间，臂丛神经阻滞起效时间、阻滞效果以及并发症发生情况。结果观察组的操作完成时间和臂丛神经阻滞起效时间均明显短于对照组，差异具有统计学意义(<0.05)。观察组阻滞效果的得优率也显著高于对照组(<0.05)。与对照组相比，观察组的并发症发生率明显较低，差异具有统计学意义(<0.05)。结论与传统异感法相比，在肥胖患者上肢手术中行超声引导下锁骨上臂丛神经阻滞能够显著地缩短操作时间和阻滞起效时间，效果好且并发症少，安全可靠。
目的研究超聲引導下鎖骨上臂叢神經阻滯在肥胖患者上肢手術應用中的可行性，為臨床治療提供理論指導。方法選擇2012年6月~2014年6月于我院就診的72例行上肢手術的肥胖患者為研究對象。隨機平均分為觀察組和對照組各36例，其中觀察組在超聲引導下進行鎖骨上臂叢神經阻滯，對照組採用傳統的異感法進行鎖骨上臂叢神經阻滯。比較兩種操作完成時間，臂叢神經阻滯起效時間、阻滯效果以及併髮癥髮生情況。結果觀察組的操作完成時間和臂叢神經阻滯起效時間均明顯短于對照組，差異具有統計學意義(<0.05)。觀察組阻滯效果的得優率也顯著高于對照組(<0.05)。與對照組相比，觀察組的併髮癥髮生率明顯較低，差異具有統計學意義(<0.05)。結論與傳統異感法相比，在肥胖患者上肢手術中行超聲引導下鎖骨上臂叢神經阻滯能夠顯著地縮短操作時間和阻滯起效時間，效果好且併髮癥少，安全可靠。
목적연구초성인도하쇄골상비총신경조체재비반환자상지수술응용중적가행성，위림상치료제공이론지도。방법선택2012년6월~2014년6월우아원취진적72례행상지수술적비반환자위연구대상。수궤평균분위관찰조화대조조각36례，기중관찰조재초성인도하진행쇄골상비총신경조체，대조조채용전통적이감법진행쇄골상비총신경조체。비교량충조작완성시간，비총신경조체기효시간、조체효과이급병발증발생정황。결과관찰조적조작완성시간화비총신경조체기효시간균명현단우대조조，차이구유통계학의의(<0.05)。관찰조조체효과적득우솔야현저고우대조조(<0.05)。여대조조상비，관찰조적병발증발생솔명현교저，차이구유통계학의의(<0.05)。결론여전통이감법상비，재비반환자상지수술중행초성인도하쇄골상비총신경조체능구현저지축단조작시간화조체기효시간，효과호차병발증소，안전가고。
Objective To study the feasibility of brachial plexus block guided by ultrasound in obese patients with limb surgery,providing theoretical guidance for clinical treatment.Methods Selected 72 cases obese patients with limb surgery from June 2012 to June 2014 in our hospital 72 routine for the study and randomly divided them into observation group and control group,36 cases of each group.The observation group conduct brachial plexus block guided by ultrasound,the control group conduct brachial plexus block with the traditional susceptibility positioning method.Compared the time to complete the operation,brachial plexus block starting time,block ef ects and postoperative complications.Results The time of completing the operation and brachial plexus block starting the observation used was significantly shorter than the control group,the dif erence was statistical y significant ( <0.05).The superior rate of observation group with block ef ects was significantly higher ( <0.05).Compared with the control group,the rate of postoperative complications were significantly lower,the dif erence was statistical y significant ( <0.05).Conclusion Compared with the traditional susceptibility positioning method,brachial plexus block guided by ultrasound in obese patients with limb surgery can significantly decrease the operating time and block starting time.It has bet er ef ect and less complications and ti is quite safe.
