超声引导下臂丛神经阻滞在上肢手术中的麻醉效果

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Abstract Objective To observe the anesthetic effect of ultrasound-guided brachial plexus block in upper limb surgery.Methods A total of 83 patients with upper limb surgery who were admitted to our hospital from February 2015 to February 2016 were selected as the research subjects,and they were divided into the traditional group (41 cases)and the ultrasound group (42 cases)according to the random number table method.Local anesthesia was performed in both groups.The traditional group was given traditional anatomical puncture positioning,and the ultrasound group was given ultrasound-guided puncture positioning.The anesthesia operation completion time,sensory block onset time,exercise block onset time,visual analogue scale (VAS),cases of postoperative anesthetic drugs,rate of adverse reaction and block situation of branch innervation area were compared between the two groups.Results The time of anesthesia operation completion in the ultrasound group was significantly longer than that in the traditional group,the onset time of sensory and motor block were significantly shorter than those in the traditional group,VAS score and the incidence of adverse reactions were significantly lower than those in the traditional group,and the differences were statistically significant(P＜0.05).There was no statistically significant difference in the rate of receiving postoperative analgesic drugs between the two groups(P＞0.05).The degree of ulnar nerve block in the ultrasound group was lighter than that in the traditional group,and the difference was statistically significant(P＜0.05).There was no significant difference in the median nerve and radial nerve block between the two groups(P＞0.05).Conclusion Ultrasound-guided brachial plexus block requires longer time than traditional anatomical positioning,but the onset time of anesthesia is shorter,which is better for ulnar nerve block.Moreover,the operation is simpler,the adverse reactions are less,and the cost is lower.It can improve the effectiveness,accuracy and safety of anesthesia and has a higher clinical promotion value.

Key words： Upper limb surgery Brachial plexus block Ultrasound-guided Anesthetic effect

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	Articles by authors
	JIANG Ying
	YE Xian-rui
	HUANG Dan-hui

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JIANG Ying,YE Xian-rui,HUANG Dan-hui. Anesthetic effect of ultrasound-guided brachial plexus block in upper limb surgery[J]. 中国当代医药, 2018, 25(27): 83-85转97.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I27/83

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