CAJ | 학술논문

目的：研究分析采用臂丛联合颈浅丛阻滞用于锁骨骨折术中麻醉的效果。方法选取2011-2012年于本院进行锁骨骨折内固定术患者80例，分为对照组和研究组，对照组采用臂丛阻滞麻醉，研究组采用臂丛联合颈浅丛阻滞麻醉，比较两组麻醉效果和麻醉过程中生命体征变化以及不良反应的发生情况。结果研究组麻醉效果优于对照组，差异有统计学意义(P<0.05)。麻醉过程中研究组患者各项指标更趋于平稳，与对照组相比，差异有统计学意义(P<0.05)。两组患者均有不良反应发生，其差异无统计学意义(P>0.05)。结论臂丛联合颈浅丛阻滞用于锁骨骨折麻醉效果优异，并且患者生命体征稳定，不良反应少，值得临床广泛推广应用。
목적：연구분석채용비총연합경천총조체용우쇄골골절술중마취적효과。방법선취2011-2012년우본원진행쇄골골절내고정술환자80례，분위대조조화연구조，대조조채용비총조체마취，연구조채용비총연합경천총조체마취，비교량조마취효과화마취과정중생명체정변화이급불량반응적발생정황。결과연구조마취효과우우대조조，차이유통계학의의(P<0.05)。마취과정중연구조환자각항지표경추우평은，여대조조상비，차이유통계학의의(P<0.05)。량조환자균유불량반응발생，기차이무통계학의의(P>0.05)。결론비총연합경천총조체용우쇄골골절마취효과우이，병차환자생명체정은정，불량반응소，치득림상엄범추엄응용。
Objective To study and analyze the effect of brachial plexus combined with superficial cervical plexus block in anes-thesia for fracture of the clavicle. Methods 80 patients underwent clavicle fracture fixation in our hospital from 2011 to 2012 were chosen and divided into the control group and the study group. Control group was given brachial plexus block anesthesia while study group was given brachial plexus combined with superficial cervical plexus block anesthesia. The anesthetic effects and life sign changes during anesthesia and adverse effects of the 2 groups were compared. Results The anesthetic effect of the study group was better than that of the control group, the difference was statistically significant (P<0.05). Life signs of the study group were steadier than the control group during anesthesia, the difference was statistically significant (P<0.05). Adverse effects occurred in both groups without statistically significant difference (P>0.05). Conclusion Brachial plexus combined with superficial cervical plexus block in anesthesia for fracture of the clavicle has a great effect. It can keep life signs steady and has few adverse effects, so it's worthy of being popularized in clinical work.