[1]何芳柱,邓晴莉.颈丛臂丛联合阻滞麻醉对锁骨骨折患者镇痛效果及神经损伤的影响[J].医学信息,2022,35(24):124-126.[doi:10.3969/j.issn.1006-1959.2022.24.024]
　HE Fang-zhu,DENG Qing-li.Effect of Cervical Plexus Brachial Plexus Block Anesthesia on Analgesic Effect and Nerve Injury in Patients with Clavicle Fracture[J].Journal of Medical Information,2022,35(24):124-126.[doi:10.3969/j.issn.1006-1959.2022.24.024]
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颈丛臂丛联合阻滞麻醉对锁骨骨折患者镇痛效果及神经损伤的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年24期
页码:
124-126
栏目:
临床研究
出版日期:
2022-12-15

文章信息/Info

Title:
Effect of Cervical Plexus Brachial Plexus Block Anesthesia on Analgesic Effect and Nerve Injury in Patients with Clavicle Fracture
文章编号:
1006-1959（2022）24-0124-03
作者:
何芳柱; 邓晴莉
（龙南中医院麻醉科1，手术室2，江西 龙南 341700）
Author(s):
HE Fang-zhu; DENG Qing-li
(Department of Anesthesiology1,Operating Room2,Longnan Hospital of Traditional Chinese Medicine,Longnan 341700,Jiangxi,China)
关键词:
颈丛臂丛; 阻滞麻醉; 锁骨骨折; 镇痛; 神经损伤
Keywords:
Cervical plexus brachial plexus; Block anesthesia; Clavicle fracture; Analgesia; Nerve injury
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2022.24.024
文献标志码:
A
摘要:
目的 观察颈丛臂丛联合阻滞麻醉对锁骨骨折患者镇痛效果及神经损伤的影响。方法 选取2018年1月-2021年10月在我院诊治的82例锁骨骨折患者为研究对象，采用随机数字表法分为对照组和观察组，各41例。对照组单纯采用臂丛神经阻滞麻醉，观察组采用颈丛臂丛联合阻滞麻醉，比较两组收缩压（SBP）、舒张压（DBP）、平均动脉压、麻醉效果、疼痛（VAS）评分、镇静评分、并发症发生率。结果 观察组麻醉前后SBP、DBP、平均动脉压比较，差异无统计学意义（P＞0.05）；对照组SBP、DBP、平均动脉压高于麻醉前，且高于观察组（P＜0.05）；观察组麻醉起效时间、运动阻滞时间、运动阻滞维持时间均短于对照组，镇痛维持时间长于对照组（P＜0.05）；术后1、2、4 h VAS评分均低于对照组（P＜0.05），术后6 h与对照组比较，差异无统计学意义（P＞0.05）；术后1 h镇静评分低于对照组（P＜0.05），术后4 h观察组镇静评分与对照组比较，差异无统计学意义（P＞0.05）；观察组并发症发生率为4.88%，低于对照组的17.07%（P＜0.05）。结论 颈丛臂丛联合阻滞麻醉应用于锁骨骨折患者可实现良好镇痛、镇静效果，且麻醉起效快速，对血压和平均动脉压影响较小，可实现血流动力学基本稳定，减轻疼痛度，降低并发症发生率，一定程度减小神经损伤，一种安全、有效的麻醉方式，值得临床应用。
Abstract:
Objective To observe the effect of cervical plexus brachial plexus block anesthesia on analgesia and nerve injury in patients with clavicle fracture.Methods A total of 82 patients with clavicle fracture diagnosed and treated in our hospital from January 2018 to October 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 41 cases in each group. The control group was treated with brachial plexus block anesthesia alone, and the observation group was treated with cervical plexus brachial plexus block anesthesia. The systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure, anesthesia effect, pain (VAS) score, sedation score and complication rate were compared between the two groups.Results There was no significant difference in SBP, DBP and mean arterial pressure before and after anesthesia in the observation group (P>0.05). SBP, DBP and mean arterial pressure in the control group were higher than those before anesthesia and higher than those in the observation group (P<0.05). The anesthesia onset time, motor block time and motor block maintenance time in the observation group were shorter than those in the control group, and the analgesia maintenance time was longer than that in the control group (P<0.05). The VAS scores at 1, 2 and 4 h after operation in the observation group were lower than those in the control group (P<0.05), but there was no significant difference between the two groups at 6 h after operation (P>0.05). The sedation score of the observation group was lower than that of the control group at 1 h after operation (P<0.05). There was no significant difference in sedation score between the observation group and the control group at 4 h after operation (P>0.05). The incidence of complications in the observation group was 4.88%, which was lower than 17.07% in the control group (P<0.05).Conclusion Cervical plexus brachial plexus combined block anesthesia in patients with clavicle fracture can achieve good analgesic and sedative effects, and the effect of anesthesia is rapid, little effect on blood pressure and mean arterial pressure, and can achieve basic hemodynamic stability, reduce pain, reduce the incidence of complications, reduce nerve damage to a certain extent, is a safe and effective way of anesthesia, worthy of clinical application.

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更新日期/Last Update: 1900-01-01