摘要
目的观察肌间沟臂丛神经阻滞两种不同按压法在锁骨骨折手术中的麻醉效果。方法 60例行锁骨骨折手术患者,随机分为对照组和实验组,每组各30例。两组局麻药均为0.8%利多卡因+0.795%甲磺酸罗哌卡因25 ml。对照组肌间沟臂丛神经阻滞边注药边按压阻滞点下方直到注药后5分钟。实验组肌间沟臂丛神经阻滞,注药完毕后再按压注射点下方5分钟。两组均采用优、良、差三级评定麻醉效果。结果实验组优良率为93%,对照组为57%。实验组的优良率明显高于对照组(P<0.05)。结论在锁骨骨折手术中,肌间沟臂丛神经阻滞,先注药后压迫法,简单易行,麻醉效果更好,是一种更有效的麻醉方法。
Objective To observe the anesthetic effect of two different pressing methods of interscalene brachial plexus block in clavicle fracture surgery.Methods 60 cases of clavicular fracture surgery patients are randomly divided into control group and experimental group,with 30 cases in each group.The two groups of local anesthetics were 0.8% lidocaine＋0.795% ropivacaine mesylate 25 ml.In control group,when taking interscalene brachial plexus block method,press below part of the blockage point while injecting drug,and then keep it for five minutes afterinjection.In experimental group,when taking interscalene brachial plexus block method,press the below part of injection point for 5 minutes after the injection.The two groups both evaluate anesthetic effect with three levels of excellent,good,poor.Results The excellent and good rate of the experimental group was 93%,that of control group was 57%.The excellent rate of experimental group was significantly higher than the control group（P〈0.05）.Conclusion In the clavicular fracture surgery,interscalene brachial plexus block is a more effective method of anesthesia to inject first and then compress,which is convenient and has better anesthetic effect.
出处
《中国继续医学教育》
2017年第31期56-58,共3页
China Continuing Medical Education
关键词
锁骨
骨折
神经传导阻滞
臂丛
按压法
clavicalis
cataclasis
nerve block
brachial plexus
pressing
