首页|颈丛联合臂丛阻滞麻醉应用于锁骨骨折患者中的效果

颈丛联合臂丛阻滞麻醉应用于锁骨骨折患者中的效果

扫码查看
目的:探讨锁骨骨折麻醉中应用颈丛联合臂丛阻滞麻醉的效果。方法:选取 2021年 2月—2023年 12月浙江大学医学院附属第一医院收治的100例锁骨骨折患者为研究对象,采用随机掷硬币法分为研究组及对照组,各50例。研究组实施颈丛联合臂丛阻滞麻醉,对照组实施臂丛阻滞麻醉。比较两组患者的麻醉效果、不良反应发生情况、生命体征、临床指标及疼痛程度。结果:研究组的麻醉总有效率为 98。00%,高于对照组的 86。00%,差异有统计学意义(P<0。05)。研究组的不良反应发生率为 4。00%,低于对照组的 16。00%,差异有统计学意义(P<0。05)。研究组的心率、收缩压、舒张压均低于对照组,差异均有统计学意义(P<0。05)。研究组的感觉阻滞起效时间、运动阻滞起效时间、阻滞完善时间均短于对照组,差异均有统计学意义(P<0。05)。研究组术后 1 h、2 h静息时、咳嗽时的疼痛视觉模拟评分均低于对照组,差异均有统计学意义(P<0。05)。结论:锁骨骨折麻醉中采用颈丛联合臂丛阻滞麻醉可缩短麻醉阻滞起效及完善时间,提高麻醉效果及安全性,在稳定患者生命体征的同时,降低其疼痛程度,具有应用价值。
Effect of Cervical Plexus Combined with Brachial Plexus Block Anesthesia in Patients with Clavicle Fractures
Objective:To investigate the effect of cervical plexus combined with brachial plexus block anesthesia in the anesthesia of clavicle fracture.Methods:A total of 100 patients with clavicle fracture admitted to the First Affiliated Hospital of Zhejiang University School of Medicine from February 2021 to December 2023 were selected as the study objects,and were divided into a study group and a control group by random coin toss method,with 50 cases in each group.The study group underwent cervical plexus combined brachial plexus block anesthesia,and the control group underwent brachial plexus block anesthesia.The anesthetic effect,incidence of adverse reactions,vital signs,clinical indicators and pain degree were compared between the two groups.Results:The total effective rate of anesthesia in the study group was 98.00%,higher than 86.00%in the control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the study group was 4.00%,lower than 16.00%in the control group,and the difference was statistically significant(P<0.05).The heart rate,systolic blood pressure and diastolic blood pressure of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).The onset time of sensory block,onset time of motor block and block perfection time in the study group were shorter than those in the control group,the differences were statistically significant(P<0.05).The pain scores of the study group at rest and cough 1 h and 2 h after surgery were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The application of cervical plexus combined with brachial plexus block in the anesthesia of clavicle fracture can shorten the onset and completion time of anesthesia block,improve the anesthesia effect and safety,stabilize the vital signs of patients,and reduce the degree of pain.

Clavicle fractureCervical plexus combined with brachial plexus block anesthesiaAnesthesia effectVital signsPain level

陈浩明

展开 >

浙江大学医学院附属第一医院麻醉科,浙江 杭州 311100

锁骨骨折 颈丛联合臂丛阻滞麻醉 麻醉效果 生命体征 疼痛程度

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(20)