探讨超声定位在肌间沟臂丛神经阻滞临床应用的麻醉效果
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摘要：目的探讨分析超声定位在肌间沟臂丛神经阻滞临床应用的麻醉效果。方法从我院2013年1月~9月上肢外伤患者中抽取100例作为样本，将其分为两组，每组50例，分别命名为试验组和对照组。为试验组使用便携式 B 超仪在颈部以二维超声图像确定肌间沟位置进行穿刺，对照组以传统的体表解剖标志进行穿刺，以两组患者的首次阻滞操作时间、阻滞起效时间、阻滞完善时间、辅助用药例数以及并发症发生率作为治疗的评价指标，以此进行对比分析。结果与对照组相比，试验组患者的阻滞操作时间、阻滞起效时间、阻滞完善时间明显缩短，即P值小于0.05，并且试验组患者的辅助用药例数以及并发症率也显著低于对照组，即P值小于0.05。结论超声定位在肌间沟臂丛神经阻滞临床应用的麻醉效果较好，能够有效缩短阻滞时间，降低并发症率，可以在临床治疗中推广使用。
关键词：超声定位；神经阻滞；麻醉效果
Application of Ultrasound-guided Interscalene Brachial Plexus Block
MA Jun
(Wuchang Hospital of Wuhan City,Wuhan 430063,Hubei,China)
Abstract：ObjectiveTo investigate the clinical application of anesthesia effect of ultrasound-guided interscalene brachial plexus block.MethodsThepatients with upper limb trauma in our hospital from 2013 January toSeptember during this period in the selected 100 people as sample,dividedinto two groups,each group of 50 people,were named as the experimental group and the control group.For the experimental group using a portable B Ultrasound instrument in the neck by two-dimensional ultrasound images to determine the puncture for interscalene position,the control group withtraditional anatomic landmarks were punctured,with two groups of patients with operation time of the first block,block onset time,complete block time,adjuvant drug cases and complication rate as evaluation index of treatmentthus,comparative analysis ......
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