Comparison of the application effects of ultrasound-guided brachial plexus block anesthesia and intravenous general anesthesia in manual release of shoulder arthritis
Objective To compare the application effects of ultrasound-guided brachial plexus block anesthesia and intravenous general anesthesia in manual release of shoulder arthritis.Methods A total of 80 patients undergoing manual release of shoulder arthritis from January 2021 to June 2022 were selected as the study objects and divided into control group and observation group according to different anesthesia methods,with 40 cases in each group.The control group was adopted intravenous general anesthesia,and the observation group was adopted ultrasound-guided brachial plexus block anesthesia.The anesthetic effects of the two groups were compared.Results At skin incision(T1)-after operation(T4),the heart rate(HR)and mean artery pressure(MAP)in the observation group were lower than those in the control group(P<0.05).Before operation(T0)-T4,there were no significant differences in the levels of superoxide dismutase(SOD)and epinephrine(E)between the two groups(P>0.05).The onset time of anesthesia block in the observation group was shorter than that in the control group,and the Visual Analogue Scale(VAS)score at 2 h after surgery was lower than that in the control group(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusion Ultrasound-guided brachial plexus block anesthesia can enhance the anesthetic effect in patients undergoing manual release of shoulder arthritis,improve hemodynamic indexes,shorten the onset time of anesthesia block,reduce postoperative pain and improve safety,which is worth popularizing.
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