摘要
目的观察分析超声引导下肌间沟联合腋路臂丛神经阻滞麻醉的效果。方法将2019年12月至2020年12月我院接收的需要进行上肢手术的90例患者进行研究,根据随机抽签法进行分组,将其分为实验组和参照组,每组各45例。参照组病人选择常规超声引导下肌间沟臂丛神经阻滞,实验组则是采取超声引导下肌间沟联合腋路臂丛神经阻滞麻醉,比较两组病人的麻醉效果以及的情况。结果实验组病人的麻醉的总优良率100.00%显著高于参照组的麻醉总优良率93.33%,组间比较有较大的差别,具备统计学意义(P<0.05);实验组病人总不良反应率4.44%显著优于参照组的总不良反应率13.33%,组间比较有较大的差别,具备统计学意义(P<0.05)。结论超声引导下的肌间沟联合腋路臂丛神经阻滞麻醉在上肢手术中是一种理想的麻醉措施,其可以显著提升患者的麻醉效果,值得临床推广。
Objective To observe and analyze the effect of ultrasound-guided anesthesia of intermuscular sulcus combined with axillary brachial plexus block.Methods From December 2019 to December 2020,90 patients receiving upper limb surgery in our hospital were divided into experimental group and reference group,45 cases each.The patients in the reference group chose routine ultrasound guided intermuscular sulcus brachial plexus block,while the experimental group adopted ultrasound guided intermuscular sulcus combined with axillary brachial plexus block anesthesia to compare the anesthetic effect and situation of the two groups.Results The total excellent and good rate of anesthesia in the experimental group was 100.00%,which was significantly higher than 93.33% in the reference group,with significant difference between groups (P<0.05);the total adverse reaction rate of the experimental group was 4.44%,which was significantly better than 13.33% in the reference group,with significant difference between groups (P<0.05).Conclusion Ultrasound guided intramuscular sulcus combined with axillary brachial plexus block anesthesia is an ideal anesthetic measure in upper limb surgery.It can significantly improve the anesthetic effect of patients and is worthy of clinical promotion.
作者
彭秀梅
PENG Xiu-mei(Yunfu People's Hospital,Yunfu,Guangdong 527300)
出处
《智慧健康》
2021年第13期12-14,共3页
Smart Healthcare
关键词
超声引导
肌间沟臂丛阻滞
腋路臂丛神经阻滞
麻醉
Ultrasound guidance
Intermuscular sulcus brachial plexus block
Axillary brachial plexus block
Anesthesia