CAJ | 학술논문

目的:观察超声引导下神经阻滞麻醉用于锁骨骨折内固定手术的临床效果.方法:锁骨骨折内固定手术的患者60例,ASA为Ⅰ~Ⅱ级,随机分为两组,每组30例.A组采用传统打法,臂丛(肌间沟入路)联合颈浅丛神经阻滞;B组在高频超声引导下臂丛(肌间沟入路)联合颈浅丛神经阻滞.麻醉操作完成后15 min,采用针刺C3~C7神经支配区域方法测试麻醉效果及患者视觉模拟评分(VAS).记录麻醉前10 min,麻醉后15 min,麻醉后30 min和麻醉后120 min的血压、心率和血氧饱和度.结果:B组的视觉模拟评分(VAS)是明显低于A组的(P<0.05);与A组相比,B组的生命体症也明显更平稳(P<0.05).结论:在锁骨骨折内固定手术中,超声引导下臂丛(肌间沟入路)联合颈浅丛神经阻滞效果明显优于传统神经阻滞.
목적:관찰초성인도하신경조체마취용우쇄골골절내고정수술적림상효과.방법:쇄골골절내고정수술적환자60례,ASA위Ⅰ~Ⅱ급,수궤분위량조,매조30례.A조채용전통타법,비총(기간구입로)연합경천총신경조체;B조재고빈초성인도하비총(기간구입로)연합경천총신경조체.마취조작완성후15 min,채용침자C3~C7신경지배구역방법측시마취효과급환자시각모의평분(VAS).기록마취전10 min,마취후15 min,마취후30 min화마취후120 min적혈압、심솔화혈양포화도.결과:B조적시각모의평분(VAS)시명현저우A조적(P<0.05);여A조상비,B조적생명체증야명현경평은(P<0.05).결론:재쇄골골절내고정수술중,초성인도하비총(기간구입로)연합경천총신경조체효과명현우우전통신경조체.
Objective: To observe the clinical effect of nerve block guided by ultrasound on internal fixation of clavicle fractures.Methods:60 patients with internal fixation of clavicle fractures,ASAⅠ~Ⅱ level,were randomly divided into 2 groups (n=30).A group took traditional anaesthesia,brachial plexus block(interscalene approach) associate with superficial cervical plexus block.B group took brachial plexus block(interscalene approach)guided by ultrasound associate with superficial cervical plexus block.15 minutes afteranesthesia procedure,the effect of anesthesia and patient's visual analogue scale (VAS) was tested by the method of needling C3-7 innervation region.Results: The visual analogue scale (VAS) of the B group was significantly lower than the A group (P<0.05).Compared with A group,vital signs of the B group were also significantly more stable (P<0.05).Conclunsion: The effect of nerve block guided by ultrasound (interscalene approach) associate with superficial cervical plexus block was significantly better.