|
|
|
| Application effect comparison of different positioning methods in brachial plexus block |
| HUANG Xiao-juan |
| Department of Anesthesiology,Gaozhou People′s Hospital,Guangdong Province,Gaozhou 525200,China |
|
|
|
|
Abstract Objective To investigate the application effect of different positioning methods in brachial plexus block.Methods From May 2015 to August 2017,100 patients with upper extremity fracture treated in our hospital were selected as study subjects.According to the block randomization method,the patients were divided into the control group(n=50)and the experimental group (n=50).The control group was given traditionally anatomical positioning during the intervention of brachial plexus block.The experimental group was given ultrasound-guided positioning.The doses of anesthetics,the duration of analgesia,the onset time of anesthesia,the duration of block operation,the anesthetic effect,and incidence of complications were compared between the two groups.Results The anesthetic dosage in the experimental group was (17.24±2.53)ml,which was ower than that of the control group,the anesthesia onset time was(11.54±2.88)min,and the duration of block operation was(185.52±24.85)s,which were shorter than those of the control group,and the duration of analgesia in the experimental group was(11.41±2.38)h,which was longer than that of in the control group,and the differences were statistically significant(P＜0.05).The excellent and good rate of anesthesia in the experimental group was 98.00%,which was higher than that in the control group,and the difference was statistically significant(P＜0.05).The total incidence rate of complication in the experimental group was 0.00%,which was lower than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion Ultrasoundguided positioning in brachial plexus block can achieve better anesthetic effect and higher safety.
|
|
|
|
|
|
| [1] |
周雁，赵旸，林惠华，等.超声引导与联合神经刺激器定位行腋入路臂丛神经阻滞的效果比较[J].中华医学杂志，2013，93（21）：1649-1652.
|
| [2] |
韩雪飞，晏明江，王克蓉，等.超声引导下臂丛神经阻滞麻醉 40 例效果观察[J].广东医学，2013，34（9）：1395-1396.
|
| [3] |
江琦，杨进辉，周丽华，等.神经刺激器定位锁骨下臂丛后束与外束神经阻滞临床效应的观察[J].广东医学，2017，38（10）：1542-1544.
|
| [4] |
王德明，侯书健，张元信，等.腋路臂丛3种神经定位方法阻滞效果的比较[J].中国临床解剖学杂志，2013，31（2）：220-224.
|
| [5] |
李挺，叶仙华，南洋，等.超声引导与神经刺激器定位臂丛神经阻滞对上肢血流动力学参数的影响[J].中华医学杂志，2013，93（3）：187-190.
|
| [6] |
杨纲华，王立勋，卢增停，等.超声联合神经刺激仪引导肌间沟臂丛神经阻滞在肥胖患者中的临床观察[J].贵州医药，2016，40（11）：1171-1173.
|
| [7] |
袁嫕，刘雪冰，杨庆国，等.对比间隙定位与神经定位行腋路臂丛置管用于肘松解术后镇痛的效果[J].中国医刊，2016，51（1）：74-78.
|
| [8] |
谢涛，肖金苗，张立东，等.应用神经刺激器经皮电刺激引导定位在肌间沟臂丛N阻滞中的应用[J].微创医学，2013，8（5）：569-570.
|
| [9] |
吴友冈，孙朗荣，杨玉华，等.神经刺激仪引导下喙突入路锁骨下臂丛神经阻滞不同定位法比较[J].现代医药卫生，2016，32（14）：2216-2217.
|
| [10] |
姜忠锐，王红霞.超声引导定位下锁骨上臂丛神经阻滞利多卡因复合罗哌卡因剂量探讨[J].世界临床医学，2016，10（1）：53.
|
| [11] |
赵君智，冯硕，姜建利，等.高频超声引导定位在肌间沟臂丛神经阻滞麻醉中的应用价值[J].中国医药导报，2017，14（19）：69-72.
|
| [12] |
李友芳，贾心连，黄亮，等.高频超声引导下臂丛神经显像和定位的应用价值分析[J].中国医药科学，2016，6（13）：156-159.
|
| [13] |
刘枧辉，曹保锋，陈文娟，等.应用神经刺激器辅助定位观察单点法高位肌间沟神经阻滞对锁骨手术麻醉效果的影响[J].河北医药，2017，39（15）：2285-2288.
|
| [14] |
吴瑞华，蔡晓斌，王传光，等.超声引导上臂中段神经阻滞对前臂改良穿支皮瓣V-Y治疗患者术后肢端运动功能恢复的影响[J].中国现代医生，2018，56（12）：23-27.
|
| [15] |
张联，张华.老年桡骨远端粉碎性骨折患者术中B超引导下臂丛神经阻滞麻醉的效果观察[J].广西医科大学学报，2018，35（5）：696-699.
|
|
|
|
