Application effects of ultrasound-guided brachial plexus block combined with intravenous anesthesia during upper limb fracture surgery in children
Objective:To explore the application effects of ultrasound-guided brachial plexus block combined with intravenous anesthesia during upper limb fracture surgery in children.Methods:84 children who underwent upper limb fracture surgery at Wujiang District Children's Hospital in Suzhou City from December 2021 to October 2022 were selected as the research subjects.They were divided into two groups with 42 cases in each group by using a random number table method.The control group received general anesthesia,while the study group received ultrasound-guided brachial plexus block combined with intravenous anesthesia.The anesthetic effects,hemodynamic indicators,stress response indicators,and adverse reactions were compared between the two groups.Results:The recovery time and post anesthesia care unit(PACU)retention time in the study group were shorter than those in the control group,and the heart rate and mean arterial pressure at the time of skin incision and extubation were lower than those in the control group(P＜0.05).One day after surgery,the levels of norepinephrine,cortisol,and insulin in the study group were lower than those in the control group(P＜0.05).The study group had a higher overall excellent rate of anesthesia than the control group(97.62％vs 80.95％,P＜0.05).The incidence of adverse reactions in the study group was lower than that in the control group(7.14％vs 26.19％,P＜0.05).Conclusion:The application of ultrasound-guided brachial plexus block combined with intravenous anesthesia during upper limb fracture surgery in children can improve anesthetic effects,reduce hemodynamic fluctuations,stress reactions,and adverse reactions.
万方数据
维普
