Clinical Effect of Ultrasound-guided Brachial Plexus Block on Analgesia after Shoulder Arthroscopy and Its Influence on Motor Function
Objective To analyze the effect of ultrasound-guided brachial plexus block anesthesia on clinical results and motor function in patients undergoing shoulder arthroscopy.Methods A total of 105 patients whom required shoul-der arthroscopic surgery admitted to Wujin Hospital Affiliated to Jiangsu University from January 2020 to June 2023 were conveniently selected as the study objects.The patients were divided into the control group(52 cases,received general anesthesia)and the observation group(53 cases,received ultrasound-guided brachial plexus block combined with general anesthesia)according to the lottery method.The mean arterial pressure,heart rate,score of visual ana-logue scale(VAS)and score of alliance supplier evaluation standard(ASES)were compared between the two groups.Results The average arterial pressure and heart rate of the observation group were lower than those of the control group at T1(5 minutes after surgery),T2(30 minutes after surgery),and T3(30 minutes after tracheal intubation re-moval),and the differences were statistically significant(all P<0.05).The VAS scores of the observation group at post-anesthesia care unit,6 hours after surgery,and 12 hours after surgery were lower than those of the control group,and the differences were statistically significant(all P<0.05).After treatment,the ASES scores of two groups increased compared to before treatment,and the observation group had(86.94±11.28)points,which was higher than the control group's(80.53±9.15)points,and the difference was statistically significant(t=3.194,P<0.05).Conclusion During the surgical treatment of patients undergoing shoulder arthroscopy,the ultrasound-guided brachial plexus block combined with general anesthesia can achieve the purpose of intraoperative controlled hypotension,provide satisfactory anesthe-sia depth control,help to reduce postoperative pain and improve the motor function of patients with shoulder joint.
Ultrasound-guided brachial plexus blockGeneral anesthesiaShoulder arthroscopyHemodynamicsAnalgesic effectMotor function
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NSTL
万方数据
维普
