岭南急诊医学杂志2024,Vol.29Issue(6) :661-663.DOI:10.3969/j.issn.1671-301X.2024.06.014

经皮超声引导锁骨上臂丛神经阻滞麻醉对尺桡骨双骨折患者的麻醉效果评价

Evaluation of Anesthesia Effect of Percutaneous Ultrasound-guided Clavicle Brachial Plexus Block Anesthesia on Patients with Bilateral Fractures of the Radius and Ulna

陈宇 周丽华 伍靓靓
岭南急诊医学杂志2024,Vol.29Issue(6) :661-663.DOI:10.3969/j.issn.1671-301X.2024.06.014

经皮超声引导锁骨上臂丛神经阻滞麻醉对尺桡骨双骨折患者的麻醉效果评价

Evaluation of Anesthesia Effect of Percutaneous Ultrasound-guided Clavicle Brachial Plexus Block Anesthesia on Patients with Bilateral Fractures of the Radius and Ulna

陈宇 1周丽华 1伍靓靓2
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作者信息

  • 1. 广东省广州市正骨医院麻醉科(510045)
  • 2. 中山大学孙逸仙纪念医院急诊科
  • 折叠

摘要

目的:研究患者尺桡骨双骨折时,为其采取经皮超声引导锁骨上臂丛神经阻滞麻醉的效果.方法:随机将我院2020年10月至2022年9月收治的40例尺桡骨双骨折患者纳入研究,对照组(20例,实施神经刺激器定位法臂丛神经阻滞麻醉)和观察组(20例,经皮超声引导锁骨上臂丛神经阻滞麻醉).结果:经不同麻醉方法实施后,观察组患者血流动力学水平指标和并发症指标明显优于对照组(P<0.05).结论:相比神经刺激器定位法臂丛神经阻滞麻醉,本文研究的经皮超声引导锁骨上臂丛神经阻滞麻醉效果更好,患者血流动力学指标更优,且并发症出现率低,麻醉起效时间短,麻醉维持时间更久,研究有较大价值.

Abstract

Objective:This study aims to evaluate the effectiveness of percutaneous ultrasound-guided supraclavicular brachial plexus block anesthesia in patients with fractures of both the radius and ulna.Methods:Forty patients with bilateral radius and ulna fractures,admitted to our hospital between October 2020 and September 2022,were randomly assigned to two groups using a random number table.The control group(n=20)received brachial plexus block anesthesia guided by a nerve stimulator positioning technique,while the observation group(n=20)received percutaneous ultrasound-guided brachial plexus block anesthesia.Results:The observation group demonstrated significantly better hemodynamic stability and a lower complication rate compared to the control group(P<0.05).Conclusion:Percutaneous ultrasound-guided brachial plexus block anesthesia,compared to the nerve stimulator-guided method,offers superior clinical outcomes,including enhanced hemodynamic stability,a lower incidence of complications,quicker onset,and prolonged duration of anesthesia,indicating its high clinical value.

关键词

经皮超声引导锁骨上臂丛神经阻滞麻醉/尺桡骨双骨折/血流动力学水平/并发症指标/麻醉起效维持时间

Key words

percutaneous ultrasound-guided supraclavicular brachial plexus block anesthesia/radius and ulna fractures/hemodynamic stability/complication rate/anesthesia duration

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出版年

2024
岭南急诊医学杂志
广东省医学会

岭南急诊医学杂志

影响因子:0.437
ISSN:1671-301X
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