摘要
目的探讨超声引导下小儿肌间沟臂丛神经阻滞的有效性与安全性。方法选取2016年3月~2019年2月我院收治的63例行上肢手术患儿,依据不同的麻醉方式将其分为对照组(n=30)与试验组(n=33),对照组施以解剖定位进行肌间沟臂丛神经阻滞麻醉方式,试验组施以超声引导下肌间沟臂丛神经阻滞麻醉方式,观察两组患儿的手术时间、苏醒时间、麻醉药物使用量、麻醉阻滞起效时间、镇痛持续时间、麻醉优良率情况及并发症发生情况。结果两组患儿手术时间比较,差异无统计学意义(P>0.05);试验组苏醒时间与麻醉阻滞起效时间明显较短,镇痛持续时间明显较长,麻醉药物使用量明显较少,与对照组比较差异有统计学意义(P<0.05);试验组的麻醉优良率为96.97%,明显高于对照组的83.33%,其并发症发生率为9.09%,明显低于对照组的33.33%,差异有统计学意义(P<0.05)。结论与传统的解剖定位方式相比,超声引导下小儿肌间沟臂丛神经阻滞具有显著的临床效果与较高的安全性,不仅能够缩短苏醒时间与麻醉阻滞起效时间,延长镇痛持续时间,减少麻醉药物使用量,同时能够提升麻醉优良率,降低并发症发生率。
Objective To explore efficacy and safety of ultrasound-guided pediatric intermuscular sulcus brachial plexus block.Methods 63 children who underwent upper limb surgery in our hospital from March 2016 to February 2019 were selected.According to different anesthesia methods,they were divided into the control group(n=30)and the experimental group(n=33).The control group was given intermuscular sulcus brachial plexus block by anatomical location while the experimental group was given ultrasound-guided intermuscular sulcus brachial plexus block.The operation time,recovery time,anesthetic use,onset time of anesthesia block,duration of analgesia,excellent and good rate of anesthesia and occurrence of complications were observed in the two groups.Results There was no statistically significant difference in the operation time between the two groups(P>0.05).The recovery time and the onset time of anesthesia block in the experimental group were significantly shorter,the duration of analgesia was significantly longer and the amount of anesthetic drug used was significantly less.The difference was statistically significant compared with the control group(P<0.05).The excellent and good rate of anesthesia in the experimental group was 96.97%,which was significantly higher than that of the control group(83.33%).The complication rate of the experimental group was 9.09%,which was significantly lower than that of the control group(33.33%).The difference between the two groups was statistically significant(P<0.05).Conclusion Compared with traditional anatomical lcation,ultrasound-guided intermuscular sulcus brachial plexus block has significant clinical curative effect and high safety.It can not only shorten the recovery time and the onset time of anesthesia block,prolong the duration of analgesia,reduce the use of anesthetic drugs,but also improve the excellent ang good rate of anesthesia and reduce the incidence of complications.
作者
杨远琪
YANG Yuanqi(Yangchun Maternal and Child Health Hospital,Yangchun 529600,China)
出处
《中国医药科学》
2019年第22期118-121,共4页
China Medicine And Pharmacy
关键词
超声引导
解剖定位
肌间沟臂丛神经阻滞
有效性与安全性
Ultrasound-guided
Anatomical location
Intermuscular sulcus brachial plexus block
Efficacy and safety
