摘要
目的探究神经刺激仪在肌间沟臂丛神经阻滞中的应用效果。方法择取2015年5月-2016年5月于江西省新余市人民医院就诊的64例上肢手术患者，按照对肌间沟臂丛神经采取的不同麻醉阻滞方法进行分组：以传统盲探法进行阻滞麻醉的32例患者归入对照组，以神经刺激仪进行阻滞麻醉的32例患者归人研究组。比较两组的阻滞效果及相关指标。结果麻醉15min后的VAS评分：研究组为（0．66±0．43）分，对照组为（2．26±0．95）分；阻滞起效时间：研究组为（11．71±2．52）min，对照组为（14．77±4．36）min；不良反应发生率：研究组为3．13％（1／32），对照组为18．75％（6／32）。研究组的上述指标情况均优于对照组，差异有统计学意义（P〈0．05）。结论神经刺激仪可以更准确地定位神经位置，微电流刺激可以加快药物吸收，缩短阻滞起效时间，避免药物留滞引发不良反应。
Objective To explore the application effect of nerve stimulator in interscalene brachial plexus block.Meth- ods From May 2015 to May 2016,64 patients undergone upper limb surgery treated by our hospital were selected.Ac- cording to different anesthetic method for block in interscalene braehial plexus,they were evenly divided into two groups：control group （traditional blind probe for block anesthesia,n=32） and research group （nerve stimulator for block anesthesia,n=32）.The block effect and related indexes between groups was compared respectively.Results After 15- minute anesthetization,VAS score was （0.66±0.43） points in research group and （2.26±0.95） points in control group.The onset time of block was （11.71±2.52） min in research group and 04.77±4.36） min in control group.With regard to inci- dence rate of adverse reaction in research group,it was 3.13% （1/32）,while in control group,the rate was 18.75% （6/32）. The above-mentioned index in research group was superior to that in control group with a statistical difference （P〈 0.05）.Conclusion Nerve stimulator can accurately locate the neural position,and microcurrent stimulation can facilitate drug absorption,shorten the onset time of block,and avert the adverse reaction due to drug stagnation.
出处
《中国当代医药》
2016年第30期109-111,共3页
China Modern Medicine
关键词
肌腱沟臂丛神经
阻滞麻醉
神经刺激仪
Interscalene brachial plexus block
Block anesthesia
Nerve stimulator
