Effect of ultrasound-guided brachial plexus combined with intercostobrachial nerve block at the root of upper arm in the operation of distal humeral fracture
Objective To retrospectively analyze the clinical effect of ultrasound-guided brachial plexus combined with intercostobrachial nerve(ICBN)block at the root of upper arm in the operation of distal humeral fracture through a posterior approach.Methods A total of 60 patients with distal humeral fracture who were admitted to Jinjiang Hospital of Traditional Chinese Medicine from January 2019 to December 2023 were selected and divided into the observation group(n=30,brachial plexus combined with ICBN block)and the control group(n=30,brachial plexus block)according to different nerve block methods.Visual analogue scale(VAS)scores was recorded at the time of onset of block(t0),skin incision(t1),exposure of fracture end(t2),anatomical reduction of fracture(t3)and skin suture(t4).The onset time of block,the effect of acupuncture pain block,the number of patients requiring auxiliary analgesic drugs during operation and the score of patient satisfaction with anesthesia were recorded.Results The VAS scores at t1,t2,t3 and t4 of the observation group were lower than those of the control group,the onset time of block was lower than that of the control group,the effect of skin pain block in the distal medial and posterior regions of the upper arm was better than that of the control group,the proportion of patients requiring auxiliary analgesic drugs during operation was lower than that of the control group,and the score of patient satisfaction with anesthesia was higher than that of the control group,with statistically significant differences(P<0.05).There was no significant difference between the two groups in the VAS score at t0(P>0.05).There was no significant difference in the effect of skin pain block in the distal lateral region of the upper arm between the two groups(P>0.05).Conclusion Compared with brachial plexus block,brachial plexus combined with ICBN block at the root of upper arm can provide more perfect anesthesia effect for distal humeral fracture surgery,with higher score of patient satisfaction.
万方数据
维普
