Application Effect of Continuous Brachial Plexus Block through Costoclavicular Approach in Upper Limb Fracture Surgery in Children
Objective:To study the application effect of continuous brachial plexus block through costoclavicular approach in upper limb fracture surgery in children.Method:A total of 102 children with upper limb fracture treated in Gejiu People's Hospital from February 2019 to February 2021 were retrospectively selected.According to the different anesthesia methods,they were divided into observation group and control group,51 cases in each group.The control group was given continuous brachial plexus block by conventional beak protrusion approach,and the observation group was given continuous brachial plexus block by costoclavicular approach.Perioperative indexes,nerve block effect,pain degree and adverse reactions were compared between the two groups.Result:The operation time of block in observation group was shorter than that in control group,and the maintenance time of block was longer than that in control group,the differences were statistically significant(P<0.05).The sensory block rate of median nerve,ulnar nerve,radial nerve and musculocutaneous nerve in the observation group was significantly higher than that of control group at 5 min and 10 min after injection drug,and the sensory block rate of ulnar nerve was higher than that of control group at 30 min after injection drug,5 min,10 min,20 min and 30 min after injection drug,the sport blocking rate of ulnar nerve and radial nerve in observation group was higher than that in control group;10 min after injection drug,the sport blocking rate of median nerve and musculocutaneous nerve in observation group was higher than that in control group;20 min after injection drug,the sport blocking rate of musculocutaneous nerve was higher than that in control group,the differences were statistically significant(P<0.05).Visual analogue scale(VAS)scores at 12 h,18 h,24 h and 36 h after surgery in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Continuous brachial plexus block through costoclavicular approach has better anesthetic effect in pediatric fracture surgery.Compared with continuous brachial plexus block through beak outburst approach,it can block sensory and motor functions more quickly in children,and has better postoperative analgesic effect.
Costoclavicular approachBrachial plexus blockFracture of upper limbBeak protrusion approach
万方数据
维普
