摘要
目的对比研究神经刺激仪引导下的臂丛神经阻滞麻醉与传统异感法臂丛神经阻滞麻醉效果。方法选取我院康复理疗科2018-07至2020-04实施上肢手术伤病员60例,随机分为对照组(n=30)和观察实验组(n=30),其中实施传统异感法臂丛神经组织麻醉者为对照组,实施神经刺激仪引导下臂丛神经阻滞麻醉者为观察组。比较两组麻醉操作时间、神经阻滞起效时间、神经阻滞持续时间、术中麻醉效果及术后3h、6h、12h、24h患者疼痛程度。结果观察组麻醉实施操作时间327±25s较对照组麻醉实施操作时间282±22s长(P<0.05);观察组神经阻滞起效时间与对照组相比差异无统计学意义;术中麻醉效果观察组较对照组优良率更高,神经阻滞持续时间观察组较对照组长,有统计学意义(P<0.05);患者术后3h、6h、12h疼痛评分中,对照组均高于观察组(P<0.05)。结论神经刺激仪引导下臂丛神经阻滞麻醉在术中麻醉效果、麻醉持续时间及术后疼痛控制上较传统异感臂丛神经阻滞麻醉均较佳,应予以推广。
Objective To compare the effectiveness of brachial plexus anesthesia guided by a nerve stimulator and conventional hetero-sensory brachial plexus anesthesia.Methods Sixty patients that were treated at the rehabilitation and physiotherapy department of our hospital between July 2018 and April 2020 were selected for our study.They were randomly put into a control group(n=30)and an observation group(n=30).Those in the control group received conventional anesthesia for brachial plexus nerve tissue,while those in the observation group received brachial plexus anesthesia guided by a nerve stimulator.The time required for implementing anesthesia,the anesthetic effectiveness during operation,the onset time of nerve block,the duration of nerve blocks,and the degree of pain for patients at 3h,6h,12h and 24h after operation were compared between the two groups.Results The time required for implementing anesthesia 327±25 s of the observation group was longer than that of the control group 282±22 s(P<0.05).There was no significant difference in the onset time of nerve blocks between the two groups.For the anesthetic effectiveness during operation,participants in the observation group had a higher percentage of good and excellent ratings compared with those in the control group,and the duration of nerve blocks of the observation group was longer than that of the control group.The difference in this aspect was statistically significant(P<0.05).Postoperative pain scores of patients in the control group at 3h,6h and 12h were higher than those of the observation group(P<0.05).Conclusion Brachial plexus anesthesia guided by a nerve stimulator is better than conventional brachial plexus anesthesia in terms of intraoperative effectiveness of anesthesia,the duration of anesthesia and postoperative pain control.It is worth promoting.
作者
蔡宇璐
黄素辉
梁之孔
陆忠辉
CAI Yulu;HUANG Suhui;LIANG Zhikong;LU Zhonghui(Department of Anesthesiology,Jiangsu Armed Police Corps Hospital,Yangzhou 225003,China;Department of Health and Epidemic Prevention,Tibet Armed Police Corps Hospital,Lasa 850003,China)
出处
《中华灾害救援医学》
2021年第3期856-858,868,共4页
Chinese Journal of Disaster Medicine
