超声联合神经刺激器引导对腋路臂丛神经阻滞效果的影响

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Abstract Objective To compare the influence of ultrasound combined with nerve stimulator guidance and ultrasound guidance on the effect of axillary brachial plexus block.Methods A total of 100 patients who intended to undergo forearm and hand surgery in our hospital from January to April 2018 were selected as the research objects,and the patients were divided into ultrasound combined with nerve stimulator group (group NU) and control group (group U) by the random number table method,50 cases in each group.The group NU was guided by ultrasound combined with nerve stimulator,and the group U was only guided by ultrasound.The anesthesia effect,nerve block onset time,operation and incidence of complications between the two groups were observed.Results The success rate of nerve block anesthesia in the group NU (100.00%) was higher than that in group U (72.00%),the difference was statistically significant (P<0.05).The sensory block onset time of musculocutaneous nerve,radial nerve,median nerve and ulnar nerve in the group NU was shorter than that in the group U,and the difference was statistically significant (P<0.05).The operation time in the group NU was shorter than that in the group U,and the duration of nerve block was longer than that in the group U,with statistically significant differences (P<0.05).The total incidence of complications in the group NU (4.00%) was lower than that in the group U (26.00%),and the difference was statistically significant (P<0.05).Conclusion Ultrasound combined with nerve stimulator to guide axillary brachial plexus block has a higher success rate,shorter onset time,operation time,longer duration,and fewer complications,indicating that ultrasound combined with nerve stimulator to guide axillary brachial plexus block is effective and safe.

Key words： Ultrasound Nerve stimulator Axillary brachial plexus block Effect

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	Articles by authors
	FU Xiang
	LIU Ke-xuan
	XUE Jin-pei
	YU Xue-gang
	YANG Ting

Cite this article:

FU Xiang,LIU Ke-xuan,XUE Jin-pei, et al. Influence of ultrasound combined with nerve stimulator guidance on the effect of axillary brachial plexus block[J]. 中国当代医药, 2020, 27(30): 127-130.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I30/127

[1]	徐诚实，郑媛芳，张文超，等.超声和神经刺激器引导下双侧腋路臂丛神经阻滞的临床对比观察[J].中日友好医院学报，2018，32（1）：11-14.
[2]	李惠洲，仝烨峰，石娜，等.超声平面外技术联合神经刺激器腋路动脉旁注药臂丛神经阻滞效果研究[J].中华解剖与临床杂志，2017，22（6）：495-498.
[3]	胥少汀.实用骨科学[M].4版.北京：人民军医出版社，2012：169-173.
[4]	张晓侠，聂明辉，刘新伟，等.超声引导下地佐辛复合地塞米松对腋路臂丛神经阻滞效果评价[J].中国地方病防治杂志，2017，32（2）：194-195.
[5]	周日永，鲍娜娜，张竞雄，等.超声引导的腋动脉旁与神经旁注药腋路臂丛神经阻滞的麻醉效果比较[J].中华手外科杂志，2019，35（5）：367-369.
[6]	于冰冰，付红光，李文波，等.超声引导下肌间沟联合腋路臂丛神经阻滞麻醉效果的临床研究[J].河南外科学杂志，2018，24（1）：11-14.
[7]	刘霞，谢丹，吴军，等.高频超声引导下腋路臂丛神经阻滞用于肘及肘以下部位手术的临床研究[J].影像技术，2017，29（1）：21-22.
[8]	牛保国.超声引导下腋路、肌间沟臂丛神经阻滞的效果与安全性分析[J].中国实用医刊，2018，45（17）：126-127.
[9]	蒋巧芬，刘玲，朱龙昌，等.超声引导下单纯腋路神经阻滞行前臂及手掌部手术的可行性[J].临床医药文献电子杂志，2017，4（68）：13 288-13 290.
[10]	袁清华，郭钦，陈胜，等.超声及神经刺激仪引导下双侧腋路臂丛神经阻滞麻醉的疗效及安全性研究[J].现代中西医结合杂志，2019，28（5）：98-101.
[11]	王伟华，王沫丽，孙俊.超声引导下与神经刺激器联合超声引导下腋路臂丛神经阻滞在下肘部位手术患者麻醉中应用比较[J].医学临床研究，2017，34（1）：61-63.
[12]	陈海涛，刘玉，刘绍正，等.右美托咪定或咪达唑仑复合0.375%左旋布比卡因对超声引导下臂丛神经阻滞效果比较[J].安徽医学，2017，38（12）：1533-1536.
[13]	王从辉，吴毅，吴世民，等.神经刺激器在超声引导腋路臂丛神经阻滞的辅助作用[J].实用医学杂志，2018，34（10）：104-106，110.
[14]	高桂锋，黎阳，周宇峰.神经刺激仪引导肌间沟联合腋路臂丛神经阻滞在掌指手术的麻醉疗效[J].中国伤残医学，2018，26（13）：59-61.
[15]	王秀珍，葛叶盈，段红波，等.超声引导下连续臂丛神经阻滞对肘关节恐怖三联征内固定术患者应激、炎性反应及术后镇痛效果的影响[J].实用疼痛学杂志，2019，15（1）：30-35.
[16]	林卓鹏，刘念，李慧东，等.低温小容量罗哌卡因行神经刺激仪联合超声引导腋路臂丛神经阻滞的临床研究[J].中国医学创新，2017，14（26）：94-97.
[17]	徐凯，郑笛，黄云萍，等.超声和神经刺激仪双重引导下不同浓度罗哌卡因用于腋路臂丛神经阻滞麻醉观察[J].浙江中西医结合杂志，2017，27（1）：51-52.
[18]	何志龙，陆庆鹏，黄俊明.神经刺激仪引导下肌间沟臂丛联合尺神经阻滞的麻醉效果[J].医疗装备，2018，31（6）：4-5.