摘要
目的探讨彩色超声引导系统用于臂丛神经阻滞的可行性。方法选择上肢手术患者50例随机分为两组,实验组(L组)和对照组(H组),每组25例。L组在彩色超声引导系统下行臂丛神经阻滞,H组盲探法行臂丛神经阻滞。观察两组麻药用量、镇痛效果、起效时间及星状神经节阻滞、局麻药毒性反应、误入血管引发血肿、神经损伤、气胸等并发症。结果与H组比较,L组麻药用量少,镇痛效果好,并发症出现几率小。结论彩色超声引导下行臂丛神经阻滞可提高操作成功率、减少并发症,使臂丛神经阻滞更加安全。
Objective To investigate the feasibility of colorultrasound guided on brachial plexus block.Methods Fifty patients undergoing upper limb surgery were enrolled randomized into two groups with 25 cases each,experimental group(L group)and control group(H group).L group brachial plexus block under Colorultrasound guided,H group brachial plexus block under blind impale.drug consumption,analgesic effect,onset time,and the complication included stellate ganglion block,toxic reaction of local anaesthetics,slipped into the vessel lead to hematoma,nerve injury,pneumothorax of two groups were observed.Results Compared with H group,L group reduced narcotic drug consumption,good analgesic effect,few complications.Conclusion Colorultrasound on brachial plexus block is safer,canimprove success rate,reduce complications.
出处
《当代医学》
2010年第33期112-113,共2页
Contemporary Medicine
关键词
彩色超声
臂丛神经
操作成功率
并发症
Colorultrasound
Brachial plexus block
Operation success rate
Complications