The Application of Nerve Stimulator Combined with Ultrasound Dual-guided Intermuscular Groove Brachial Plexus Block in Upper Limb Surgery for Obese Patients
Objective To explore the application effect of nerve stimulator combined with ultrasound dual-guided intermuscular groove brachial plexus block in upper limb surgery for obese patients.Methods With the selection of 110 obese patients who underwent upper limb surgery at the hospital from January 2021 to December 2023 as the study subjects,they were randomly divided into two groups using a double-blind method,with 55 patients in each group.with the use of ultrasound-guided intermuscular groove brachial plexus block in the control group,and the use of nerve stimulators combined with ultrasound dual-guided intermuscular groove brachial plexus block in the experimental group,the onset time of nerve block,operation time,duration of nerve block,effect of nerve block and incidence of puncture complications were compared between the two groups.Results The onset time of musculocutaneous nerve,radial nerve,median nerve,and ulnar nerve block in the experimental group was shorter than that in the control group,and the differences were statistically significant(P＜0.05);The operation time and duration of nerve block in the experimental group were longer than those in the control group,and the differences were statistically significant(P＜0.05);The excellent rate of nerve block in the experimental group was higher than that in the control group,and the incidence of puncture complications was lower than that in the control group,with statistically significant differences(P＜0.05).Conclusions The application effect of nerve stimulator combined with ultrasound dual-guidance for intermuscular groove brachial plexus nerve block in upper limb surgery of obese patients is superior to ultrasound guidance alone,which can shorten the onset time of nerve block,prolong the duration of nerve block,improve the effect of nerve block,and has fewer puncture complications and high safety.However,due to its long operation time,the clinical blocking method should be selected according to the specific situation.
万方数据
维普
