摘要
目的比较超声引导喙突处锁骨下臂丛神经阻滞与逆行锁骨下臂丛神经阻滞的临床麻醉效果。方法拟行前臂或手部手术患者60例,随机分为两组,分别行超声引导下喙突处锁骨下臂丛神经阻滞(观察组)和超声引导逆行锁骨下臂丛神经阻滞(对照组),每组30例。记录麻醉成功率、麻醉操作时间、持续时间及并发症发生例数、各臂丛神经的起效时间。结果对照组尺神经、前臂内侧皮神经起效时间较观察组短(P<0.05)。对照组有5例Horners综合征,1例误入血管。结论超声引导喙突处锁骨下臂丛神经阻滞和逆行锁骨下臂丛神经阻滞均是可行有效的区域麻醉方法。
Objective To compare the anesthetic effects between ultrasound-guided infraclavicular brachial plexus block via coracoid approach and ultrasound-guided retrograde infraclavicular brachial plexus block. Methods Sixty patients scheduled for forearm or hand surgery were equally randomized into two groups., infraclavicular brachial plexus block via coracoid approach group （ohservation group） and retrograde infraclavicular hrachial plexus block group （control group）. The anesthesia success rate, performance time, duration time, the block onset time of brachial plexus, and the incidence of complication were recorded. Results There was no statistical significance in respect of the anesthesia success rate, performance time, and duration time Compared with observation group, the block onset time of ulnar nerve and median antebrachial cutaneous nerve was shorter and the incidence of complication was higher in control gmup（P〈0. 05）. Conclusion Infraclavicular brachial plexus block via coracoid approach and retrograde infraclavicular brachial plexus block by ultrasound guided are feasible technique in regional anaesthesia, but the block onset was slower and the incidence of complication was higher in ultramund-guided retrograde inffaclavicular brachial plexus block.
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
2012年第8期775-777,共3页
Journal of Clinical Anesthesiology
关键词
超声引导
臂丛神经阻滞
Ultrasoun＆guided
Brachial plexus block
