超声引导臂丛神经阻滞麻醉在肱骨远端C型骨折患者的应用效果
Application of Ultrasound-Guided Brachial Plexus Block Anesthesia in Patients with Distal Humerus Type C Fracture
要新宇 1乔路筱2
作者信息
- 1. 天津市宝坻区人民医院麻醉科,天津 301800
- 2. 天津市宝坻区人民医院超声科
- 折叠
摘要
目的:探讨超声引导臂丛神经阻滞麻醉在肱骨远端C型骨折患者的应用效果.方法:选取 2020年 3月—2023年 1月我院收治的 78例肱骨远端C型骨折患者为研究对象,根据 1:1 随机掷硬币原则将研究对象分为试验组与传统组,每组 39例.传统组采用超声引导锁骨下肌间沟臂丛神经阻滞,试验组采用超声引导喙突旁臂丛神经阻滞.对比2组患者的阻滞效果.结果:试验组不同神经支配区麻醉起效时间均短于传统组,组间差异有统计学意义(P<0.05).试验组麻醉效果优良率高于传统组,差异有统计学意义(P<0.05).试验组并发症发生率低于传统组,差异有统计学意义(P<0.05).术后 4、24、48 h,试验组VAS评分均低于传统组,差异有统计学意义(P<0.05).结论:相对于锁骨下肌间沟,超声引导喙突旁臂丛神经阻滞在肱骨远端C型骨折手术上的应用能加快神经支配起效时间,减少并发症的发生,可缓解患者的静息疼痛评分,提高总体麻醉阻滞效果.
Abstract
Objective:To investigate the effect of ultrasound-guided brachial plexus block anesthesia in patients with distal humerus type C fracture.Methods:78 patients with distal humerus type C fracture admitted to our hospital from March 2020 to January 2023 were selected as the study objects.According to the 1:1 random coin toss principle,the study objects were divided into an experimental group and a traditional group,with 39 cases in each group.The traditional group received ultrasound-guided brachial plexus block in subclavian intermuscular groove,and the experimental group received ultrasound-guided brachial plexus block in paracoracoid process.The resistance of the two groups was compared.Results:The onset time of anesthesia in different innervation areas in experimental groups was shorter than that in traditional group,and the difference between groups was statistically significant(P<0.05).The rate of excellent and good anesthetic effect in experimental group was higher than that in traditional group,and the differences were statistically significant(P<0.05).The complication rate of experimental group was lower than that of traditional group,and the difference was statistically significant(P<0.05).At 4,24 and 48 h after operation,the VAS scores of experimental groups were lower than those of traditional group,and the difference was statistically significant(P<0.05).Conclusion:Compared with the subclavian intermuscular groove,the application of ultrasound-guided paracoracoid brachial plexus block in the operation of distal humerus type C fracture can accelerate the onset time of innervation,reduce the occurrence of complications,reduce the resting pain score of patients,and improve the overall anesthesia block effect.
关键词
锁骨下肌间沟/超声/喙突旁臂丛/神经阻滞/肱骨远端C型骨折Key words
Subclavian intermuscular sulci/Ultrasound/Paracoracoid brachial plexus/Nerve block/Distal humerus type C fracture引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据