B超引导下肌间沟臂丛神经阻滞在锁骨骨折切开复位内固定术中的应用价值分析(1)
【摘要】 目的 探討B超引导下肌间沟臂丛神经阻滞在锁骨骨折切开复位内固定术中的应用价值。方法 74例行锁骨骨折切开复位内固定术患者， 采用随机数字表法分为对照组及试验组， 各37例。
对照组施以解剖定位的肌间沟臂丛神经阻滞麻醉方式， 试验组施以B超引导下肌间沟臂丛神经阻滞方式。比较两组患者的麻醉效果、麻醉药物剂量、麻醉起效时间、镇痛持续时间、不良反应发生情况。结果 试验组的总有效率97.30%高于对照组的78.38%， 差异具有统计学意义 (P<0.05)。试验组的麻醉药物剂量(21.23±5.49)ml少于对照组的(30.67±6.54)ml， 麻醉起效时间(4.06±0.82)min短于对照组的(6.01±1.04)min， 镇痛持续时间(642.84±125.61)min长于对照组的(449.94±105.46)min， 差异均具有统计学意义 (P<0.05)。试验组患者的不良反应发生率8.11%低于对照组的29.73%， 差异具有统计学意义 (P<0.05)。结论 B超引导下肌间沟臂丛神经阻滞在锁骨骨折切开复位内固定术中的应用具有较高的临床价值。
【关键词】 B超引导;肌间沟臂丛神经阻滞;锁骨骨折切开复位内固定术
DOI：10.14163/j.cnki.11-5547/r.2020.27.014
Application value of B-ultrasound-guided interscalene brachial plexus block in open reduction and internal fixation of clavicle fracture TAN Mei-yun， WU Yan-wen. Department of Anesthesia， Zhongshan Bo’ai Hospital， Zhongshan 528400， China
【Abstract】 Objective To discuss the application value of B-ultrasound-guided interscalene brachial plexus block in open reduction and internal fixation of clavicle fracture. Methods A total of
74 patients undergoing open reduction and internal fixation of clavicle fracture were divided into control group and experimental group according to random numerical table， with 37 cases in each group. The control group received anatomically located interscalene brachial plexus block for anesthesia， and the test group received B-ultrasound-guided interscalene brachial plexus block for anesthesia. The anesthesia effect， dosage of anesthetic drugs， anesthesia onset time， duration of analgesia， and occurrence of adverse reactions were compared between the two groups. Results The total effective rate 97.30% of the experimental group was higher than that of the control group 78.38%， and the difference was statistically significant (P<0.05). The dosage of anesthetic drugs (21.23±5.49) ml of the experimental group was less than that of the control group (30.67±6.54) ml， anesthesia onset time (4.06±0.82) min was shorter than that of the control group (6.01±1.04) min， and duration of analgesia (642.84±125.61) min was longer than that of the control group (449.94±105.46) min， and the difference was statistically significant (P<0.05). Conclusion B-ultrasound-guided interscalene brachial plexus block has high clinical value in open reduction and internal fixation of clavicle fracture.
【Key words】 B-ultrasound-guided; Interscalene brachial plexus block; Open reduction and internal fixation of clavicle fracture, http://www.100md.com(谭美云 吴演文)
对照组施以解剖定位的肌间沟臂丛神经阻滞麻醉方式， 试验组施以B超引导下肌间沟臂丛神经阻滞方式。比较两组患者的麻醉效果、麻醉药物剂量、麻醉起效时间、镇痛持续时间、不良反应发生情况。结果 试验组的总有效率97.30%高于对照组的78.38%， 差异具有统计学意义 (P<0.05)。试验组的麻醉药物剂量(21.23±5.49)ml少于对照组的(30.67±6.54)ml， 麻醉起效时间(4.06±0.82)min短于对照组的(6.01±1.04)min， 镇痛持续时间(642.84±125.61)min长于对照组的(449.94±105.46)min， 差异均具有统计学意义 (P<0.05)。试验组患者的不良反应发生率8.11%低于对照组的29.73%， 差异具有统计学意义 (P<0.05)。结论 B超引导下肌间沟臂丛神经阻滞在锁骨骨折切开复位内固定术中的应用具有较高的临床价值。
【关键词】 B超引导;肌间沟臂丛神经阻滞;锁骨骨折切开复位内固定术
DOI：10.14163/j.cnki.11-5547/r.2020.27.014
Application value of B-ultrasound-guided interscalene brachial plexus block in open reduction and internal fixation of clavicle fracture TAN Mei-yun， WU Yan-wen. Department of Anesthesia， Zhongshan Bo’ai Hospital， Zhongshan 528400， China
【Abstract】 Objective To discuss the application value of B-ultrasound-guided interscalene brachial plexus block in open reduction and internal fixation of clavicle fracture. Methods A total of
74 patients undergoing open reduction and internal fixation of clavicle fracture were divided into control group and experimental group according to random numerical table， with 37 cases in each group. The control group received anatomically located interscalene brachial plexus block for anesthesia， and the test group received B-ultrasound-guided interscalene brachial plexus block for anesthesia. The anesthesia effect， dosage of anesthetic drugs， anesthesia onset time， duration of analgesia， and occurrence of adverse reactions were compared between the two groups. Results The total effective rate 97.30% of the experimental group was higher than that of the control group 78.38%， and the difference was statistically significant (P<0.05). The dosage of anesthetic drugs (21.23±5.49) ml of the experimental group was less than that of the control group (30.67±6.54) ml， anesthesia onset time (4.06±0.82) min was shorter than that of the control group (6.01±1.04) min， and duration of analgesia (642.84±125.61) min was longer than that of the control group (449.94±105.46) min， and the difference was statistically significant (P<0.05). Conclusion B-ultrasound-guided interscalene brachial plexus block has high clinical value in open reduction and internal fixation of clavicle fracture.
【Key words】 B-ultrasound-guided; Interscalene brachial plexus block; Open reduction and internal fixation of clavicle fracture, http://www.100md.com(谭美云 吴演文)