摘要
目的 比较超声和神经刺激仪引导肌间沟臂丛神经阻滞的临床效果.方法 将60例上肢手术患者按照随机数字表法分为两组：N组（神经刺激仪引导组）和U组（超声引导组）,每组各30例.观察并比较两组的完成阻滞时间和操作相关疼痛、感觉和运动阻滞起效时间、术中是否需要辅助应用芬太尼、并发症等.结果 两组患者神经阻滞成功率均为100%.N组完成阻滞时间短于U组[（11±5）min比（16±7）min,P＜0.05],N组感觉阻滞起效时间长于U组[（18±7）min比（13±9）min,P＜0.05],两组运动阻滞起效时间比较差异无统计学意义（P＞0.05）.N组中12例发生操作相关疼痛,而U组仅5例,两组比较差异有统计学意义（P＜0.01）.结论 超声引导肌间沟臂丛神经阻滞可达到与神经刺激仪引导相同的成功率和临床效果.
Objective To compare the clinical effect of ultrasound and nerve stimulator guidance for interscalene brachial plexus block. Methods Sixty patients scheduled for upper extremity surgery were randomly allocated into two groups to receive either nerve stimulator guidance （group N,30 cases） or ultrasound guidance （group U, 30 cases） for interscalene brachial plexus block. The time for completing the procedure, the onset time of sensory block and motor block, as well as success rate of the procedure were recorded. The requirement for fentanyl during surgery, pain related with procedure and incidence of other complications were also recorded. Results The success rate of the procedure was 100% in both groups.Longer time was needed for completing procedure in group U [（16±7）min] than that in group N [（11±5）min]（P〈0.05）. The onset time of sensory block was significantly shorter in group U [（13±9）min] than that in group N [（18±7）min] （P 〈 0.05 ）, while the onset time of motor block was similar between the two groups. Twelve patients in group N and 5 patients in group U complained pain related with procedure, which were significantly different （P〈0.01 ）. Conclusion Interscalene brachial plexus block with ultrasound guidance has similar clinical effect and success rate compare with nerve stimulator guidance.
出处
《中国医师进修杂志》
2010年第24期6-8,共3页
Chinese Journal of Postgraduates of Medicine
关键词
超声检查
经皮神经刺激
臂丛
Ultrasonography
Transcutaneous electric nerve stimulation
Brachial plexus
作者简介
通信作者：张洁，Email：joannyzh@163．com
