摘要
目的对比分析超声引导与传统解剖定位在臂丛神经阻滞麻醉中的效果。方法将2016年1月—2018年11月该院实施臂丛神经阻滞麻醉的54例患者分为观察组和对照组,每组均27例,观察组患者应用超声引导定位,对照组采用传统解剖定位,对两组麻醉效果进行对比分析。结果观察组麻醉优良率为100.00%,显著高于对照组的81.48%,两组间数据差异有意义(χ~2=5.510,P=0.019),观察组患者的麻醉起效时间、麻醉完成时间、麻醉维持时间分别为(3.44±0.27)min、(3.25±0.17)min、(439.25±52.67)min,明显优于对照组(t=17.676、14.155、8.709,P=0.000);观察组并发症发生率7.41%,明显低于对照组的37.04%(χ~2=9.857,P=0.000)。结论在臂丛神经阻滞麻醉中,采用超声引导定位的效果更优于传统解剖定位,不仅能提高麻醉效果优良率,还可缩短麻醉起效时间和麻醉完成时间,延长麻醉维持时间,并能减少血肿、Honer综合征及气胸等并发症的发生。
Objective To compare the effects of ultrasound guidance and traditional anatomical localization in brachial plexus block anesthesia.Methods 54 patients who underwent brachial plexus block anesthesia from January 2016 to November 2018 were divided into observation group and control group,27 cases in each group.The observation group was guided by ultrasound and the control group was used traditional anatomical positioning to compare and analyze the anesthetic effects of the two groups.Results The excellent and good anesthesia rate of the observation group was 100.00%,which was significantly higher than that of the control group(81.48%).There was significant difference between the two groups(χ^2=5.510,P=0.019).The anesthesia onset time and anesthesia completion time,anesthesia maintenance time of the observation group was(3.44±0.27)min,(3.25±0.17)min,(439.25±52.67)min,which was significantly better than the control group(t=17.676,14.155,8.709,P=0.000);The incidence rate was 7.41%,which was significantly lower than 37.04%of the control group(χ^2=9.857,P=0.000).Conclusion In brachial plexus block anesthesia,the effect of ultrasound guided positioning is better than traditional anatomical positioning,which can not only improve the excellent rate of anesthesia,but also shorten the time of onset of anesthesia and the completion time of anesthesia,prolong the maintenance time of anesthesia,and it can reduce the occurrence of complications such as hematoma,Honer syndrome and pneumothorax.
作者
吴尚
周艳鸿
WU Shang;ZHOU Yan-hong(Department of Anesthesiology,Yuhua Hospital of Nanjing,Nanjing,Jiangsu Province,210012 China)
出处
《世界复合医学》
2019年第2期118-120,共3页
World Journal of Complex Medicine
关键词
超声引导
传统解剖定位
臂丛神经阻滞麻醉
效果
Ultrasound guidance
Traditional anatomical localization
Brachial plexus block anesthesia
Effect
