不同神经阻滞方法在锁骨骨折患者内固定术中的应用效果

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Abstract ObjectiveTo explore the application effect of different nerve block methods in the internal fixation of patients with clavicle fractures.MethodsFrom January 2015 to January 2017,80 patients with clavicle fracture who were treated by internal fixation in our hospital were selected.The patients were evenly divided into the control group and the observation group in random,40 cases in each group.In the control group,simple neck block anesthesia was used,while in the observation group,the combined cervical and brachial plexus block anesthesia was adopted.The anesthetic effect and complications were compared between the two groups.ResultsThere was no significant difference in the heart rate and NIBP between the two groups before anesthesia (P＞0.05).The heart rate and NIBP during slicing and reduction of fracture in the observation group were higher than those in the control group,with significant difference (P＜0.05).There was no significant difference in the heart rate between the two groups at 24 h after operation(P＞0.05).The NIBP at 24 h after operation in the observation group was lower than that in the control group,with significant difference(P＜0.05).The excellent and good rate of anesthesia in the observation group was much better than that in the control group,with statistical difference(P＜0.05).The postoperative incidence of complications in the observation group was lower than that in the control group,which was displayed statistical significance (P＜0.05).ConclusionFor patients with clavicle fractures,application of combined cervical and brachial plexus block anesthesia for internal fixation can obtain a remarkable effect,which is beneficial to improve the anesthetic effect and alleviate the severity of nerve injury in a great clinical value.It is worthy of extensively promoted.

Key words： Clavicle fracture Internal fixation Combined cervical and brachialplexus block anesthesia Neck block anesthesia

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	Articles by authors
	LIU Chun-gen
	LUO Yu-lan
	HUANG Hong-zhou

Cite this article:

LIU Chun-gen,LUO Yu-lan,HUANG Hong-zhou. Application effect of different nerve block methods in the internal fixation of patients with clavicle fractures[J]. 中国当代医药, 2018, 25(2): 112-114.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I2/112

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