摘要
目的研究B超引导下颈丛联合臂丛神经阻滞麻醉方式应用于接受锁骨骨折手术患者群体中的作用和价值。方法选取河源市源城区人民医院2020年1~5月50例锁骨需要接受骨折手术的患者,随机分为对照组和研究组,各25例,对照组应用超声引导下肌间沟臂丛顶点法阻滞麻醉方式,研究组应用B超引导下颈丛神经阻滞联合臂丛神经阻滞麻醉,对比两组麻醉效果、不同阶段心率和平均动脉指标、安全性。结果研究组在麻醉效果、不同阶段的心率和平均动脉指标及安全性方面呈现的效果相比对照组更为优越,组合差异有统计学意义(P<0.05)。结论与其他的麻醉方式所取得的麻醉效果相比,对接受锁骨手术的患者应用B超引导下颈丛联合臂丛神经阻滞麻醉方式,能够获得令人更为满意的麻醉效果,可显著缩短手术时间,减少不良反应和对患者机体的影响,维系患者生命体征,安全性和实用性较高。
Objective To study effect and value of B-ultrasound-guided cervical plexus combined with brachial plexus block anesthesia for patients undergoing clavicle fracture surgery.Methods The paper chose 50 cases clavicle fracture surgery patients in our hospital from January to May 2020,and divided them into control group and study group randomly,with 25 cases in each group.Control group was treated with ultrasound-guided interscalene brachial plexus block anesthesia,and study group with B-ultrasound-guided cervical plexus block combined with brachial plexus block anesthesia.Anesthetic effect,heart rate at different stages,mean arterial index and safety between two groups was compared.Results Anesthesia effect,heart rate at different stages,mean arterial index and safety of study group was better than control group,P<0.05.Conclusion B-ultrasound-guided cervical plexus combined with brachial plexus block anesthesia can achieve more satisfactory anesthesia effect than other anesthesia methods,shorten operation time,reduce adverse reactions and body impact on patients significantly,maintain their vital signs,with high safety and practicability,which can be widely recommended in clinical practice.
作者
钟为金
ZHONG Wei-jin(Anesthesiology Department,Heyuan City Yuancheng District People's Hospital,Heyuan,Guangdong,517000)
出处
《智慧健康》
2021年第18期67-69,共3页
Smart Healthcare
关键词
颈丛联合臂丛神经阻滞
B超引导
锁骨骨折手术
麻醉
Cervical plexus combined with brachial plexus block
B ultrasound guidance
Clavicle fracture surgery
Anaesthesia
