摘要
目的:分析超声引导下经腋路臂丛神经阻滞采用镇痛泵连续镇痛在手外伤手术中的临床效果。方法:选取2020年1月-2021年1月会宁县人民医院麻醉科手外伤手术患者220例为观察对象,采用随机数字表法分为观察组与对照组,各110例。两组术中皆在超声引导下经腋路臂丛神经阻滞,观察组接上镇痛泵连续镇痛,对照组常规镇痛。比较两组的疼痛评分、镇静评分、麻醉时间、神经阻滞率与并发症发生情况。结果:观察组术后2 h、4 h、8 h、12 h疼痛评分均低于对照组,镇静评分高于对照组,差异有统计学意义(P<0.05);观察组穿刺操作时间长于对照组,感觉阻滞起效、运动阻滞起效时间短于对照组,差异有统计学意义(P<0.05);观察组神经阻滞率高于对照组,术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:超声引导下经腋路臂丛神经阻滞的效果良好,连续镇痛下的疼痛缓解与镇静效果均更好,同时也可降低相关并发症发生率。
Objective:To analyze the clinical effect of ultrasound-guided transaxillary brachial plexus block using analgesia pump for continuous analgesia in hand trauma surgery.Methods:From January 2020 to January 2021,220 patients with hand trauma surgery in the Department of Anesthesiology,Huining County People's Hospital were selected as the observation objects.The patients were divided into observation group and control group by random number table method,110 cases in each.Both groups underwent ultrasound-guided transaxillary brachial plexus block during the operation.The observation group was connected with an analgesic pump for continuous analgesia,while the control group received routine analgesia.The pain score,sedation score,anesthesia time,nerve block rate and complications were compared between the two groups.Results:The pain scores of the observation group at 2 h,4 h,8 h,and 12 h after operation were lower than those of the control group,and the sedation score was higher than that of the control group,and the differences were statistically significant(P<0.05).The puncture operation time of the observation group was longer than that of the control group,and the onset time of sensory block and motor block was shorter than that of the control group,and the differences were statistically significant(P<0.05).The rate of nerve block in the observation group was higher than that in the control group,and the incidence of postoperative complications was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Ultrasound-guided transaxillary brachial plexus block has a good effect,and the pain relief and sedation effect under continuous analgesia are better,and the incidence of related complications can also be reduced.
作者
李志江
Li Zhi-jiang(Department of Anesthesiology,Huining County People's Hospital,Baiyin 730700,Gansu Province,China)
出处
《中外医药研究》
2022年第4期72-74,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
超声引导
经腋路臂丛神经阻滞
手外伤
连续镇痛
Ultrasound guidance
Transaxillary brachial plexus block
Hand trauma
Continuous analgesia
