摘要
目的:观察在神经刺激器定位下使用静脉留置针行肌间沟臂丛神经阻滞的可行性及效果。方法:自制一根用于将直型静脉留置针金属针芯尾部与神经刺激器负极连接的导线。选择60例臂丛神经阻麻醉下行上肢或锁骨手术的患者,随机分成留置针组和神经刺激器专用针组,每组30例,均采用肌间沟入路穿刺。记录定位时间、麻醉效果及相关不良反应。结果:两组的定位时间、麻醉效果及不良反应比较差异均无统计学意义。结论:静脉留置针用于神经刺激器定位下肌间沟臂丛神经阻滞麻醉具有可行性。
Objective： To observe the feasibility and effect of using venous indwelling needles on interscalene brachial plexus block under locating of neurostimulator. Methods： A wire was made for connecting the tail of the metal needle core of the straight type of venous indwelling needles with the negative electrode of neurostimulator. 60 patients of brachial plexus block anesthesia for the surgery of upper limb or clavicle were selected to this study, and were randomly divided into the venous indwelling needle group and the dedicated needle of neurostimulator group, 30 patients in each group. The patients of both groups were punctured through interscalene approach. The location times, anesthetic effect and related adverse reactions were recorded. Results： For the location times, anesthetic effect and related adverse reactions, no statistically significant differences were found between the two groups. Conclusion： The venous indwelling needle for interscalenc brachial plexus block anesthesia under locating of neurostimulator is feasible.
出处
《中国当代医药》
2011年第26期76-77,共2页
China Modern Medicine
关键词
神经刺激器
静脉留置针
臂丛神经阻滞
临床观察
Neurostimulator
Venous indwelling needles
Brachial plexus block
Clinical observation
