神经刺激仪；臂丛；肌间沟____

神经刺激仪肌间沟臂丛神经阻滞麻醉的临床观察

http://www.100md.com 《局解手术学杂志》 2007年第1期

神经刺激仪；臂丛；肌间沟,,],神经刺激仪；臂丛；肌间沟,1资料与方法,2结果,3讨论,[参考文献]

     [摘要]目的探讨应用神经刺激仪辅助定位实行肌间沟臂丛神经阻滞麻醉的临床应用效果。方法80例拟行肌间沟臂丛神经阻滞的患者随机分为2组，每组40例。Ⅰ组采用神经刺激仪辅助定位，Ⅱ组采用异感定位，局麻药均为0.3%左旋布比卡因。结果Ⅰ组40例中麻醉效果优良者38例(成功率为95%)，Ⅱ组麻醉效果优良者28例(成功率为70%)，两组麻醉效果比较有显著性(P<0.01)。结论应用神经刺激仪辅助定位实施肌间沟臂丛神经阻滞麻醉，比异感定位准确，阻滞麻醉成功率高。

    [关键词] 神经刺激仪；臂丛；肌间沟

    Clinical observation on intermusculargroove brachial plexus blockage with nervousstimulator

    LI Yan, LI Jianhua

    (Department of Anaesthesia, the People’s Hospital of Yichun City, Yichun 336000, China)

    Abstract: ObjectiveTo study the clinical effect of intermusculargroove brachial plexus block guided by nervestimulator.Methods80 cases of intermusculargroove brachial plexus block patients were divided into two groups randomly, 40 cases each group. GroupⅠ was guided by nervestimulator and group Ⅱwas by exceptional feeling. Anaesthetic drug was 0.3% levobupivacaine. Results38 cases were successful in groupⅠ(95%) and 28 cases in groupⅡ(70%). There was remarkable between two groups. ConclusionIntermusculargroove brachial plexus block guided by nervestimulator is more accurate and successful than it by exceptional feeling. ......

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