Clinical application effect of ultrasound-guided clavipectoral fascial plane block combined with supraclavicular nerve block in midclavicular fracture surgery
Clinical application effect of ultrasound-guided clavipectoral fascial plane block combined with supraclavicular nerve block in midclavicular fracture surgery
Objective To evaluate the application advantages of ultrasound-guided clavipectoral fascial plane block(CPB)combined with supraclavicular nerve block(SCNB)in midclavicular fracture surgery.Methods A total of 60 patients undergoing internal fixation for midclavicular fracture were divided into two groups with 30 cases in each group by random number table method.Among them,ultrasound guided CPB combined with SCNB was CS group,and ultrasound guided interscalene brachial plexus block(ISBPB)combined with intermediate cervical plexus block(ICPB)was the BC group.The success rate of block,incidence of ipsilateral diaphragmatic paralysis,block-related complications,operation time,onset time,upper limb motor block score and hemodynamic parameters were recorded and compared between the two groups.Results There was no significant difference in the success rate of block between the two groups(P=1.000).The incidence of ipsilateral diaphragmatic paralysis in CS group was significantly decreased(P<0.001).There was no significant difference in the incidence of adverse reactions such as Horner syndrome and recurrent laryngeal nerve block between the two groups(P>0.05).The upper limb motor function in BC group decreased significantly at 30 minutes after the block and at the end of the operation,while no significant changes were observed in the CS group(P<0.001).The time of blocking operation in CS group was longer(P<0.05),but there was no significant difference in the onset time of block between the two groups(P>0.05).There were no significant differences in hemodynamic parameters between the two groups(P>0.05).Conclusion Ultrasound-guided CPB combined with SCNB provides adequate anesthesia for midclavicular fracture surgery without the risk of ipsilateral diaphragmatic paralysis and upper limb motor block.
维普
万方数据