| 赵永斌,王 晖,常建华,郝亚波,张亚君.超声与周围神经刺激器引导技术用于上肢手术锁骨上阻滞效果研究[J].,2023,(1):108-112 |
| 超声与周围神经刺激器引导技术用于上肢手术锁骨上阻滞效果研究 |
| Ultrasound and Peripheral Nerve Stimulator Guide Technique for Supraclavicular Block in Upper Limb Surgery |
| 投稿时间：2022-05-05 修订日期：2022-05-28 |
| DOI：10.13241/j.cnki.pmb.2023.01.021 |
| 中文关键词: 超声引导 神经刺激器 神经阻滞 上臂丛神经 |
| 英文关键词: Ultrasound guidance Neurostimulator Nerve block Upper brachial plexus |
| 基金项目:陕西省重点研发计划基金项目（2019SF-049） |
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| 中文摘要: |
| 摘要 目的：探讨超声与周围神经刺激器引导技术用于上肢手术锁骨上阻滞的效果。方法：招募2019年5月~2021年4月在我院收治并接受上肢手术的100例患者为研究对象。所有患者均接受上臂丛神经阻滞。根据研究方案将患者随机均分为对照组和引导组。对照组采用神经刺激器辅助定位锁骨上臂丛神经阻滞，引导组采用超声与周围神经刺激器引导技术对上臂丛神经阻滞，统计分析临床麻醉完成时间等相关指标。结果：两组患者一般资料比较无差异（P>0.05）。引导组麻醉完成时间和神经阻滞起效时间较对照组缩短（P<0.05），引导组神经阻滞持续时间较对照组延长（P<0.05）。引导组麻醉效果优良率较对照组升高（P<0.05），引导组麻醉效果中差率较对照组低（P<0.05）。引导组总体并发症较对照组低（P<0.05）。引导组感觉评分、运动评分、应对评分和总评分较对照组升高（P<0.05）。引导组非常满意率和总满意率较对照组升高（P<0.05），引导组不满意率较对照组降低（P<0.05）。结论：与单独使用神经刺激器相比，超声引导辅助定位锁骨上臂丛神经阻滞具有起效快、阻滞完全、持续时间长等优点，超声与周围神经刺激器引导技术可提高麻醉的有效性、准确性和安全性，值得临床推广。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the effect of ultrasound and peripheral nerve stimulator guidance technique for supraclavicular block in upper limb surgery. Methods: A total of 100 patients who were admitted to our hospital and underwent upper limb surgery from May 2019 to April 2021 were recruited as research subjects. Patients were equally randomized into matched and lead groups according to the study protocol. The matched group used nerve stimulator to locate the superior brachial plexus block, the lead group used ultrasound and peripheral nerve stimulator to guide the upper brachial plexus block, and analyzed the completion time of clinical anesthesia and other related indicators. Results: There was no difference in general data between the two groups (P>0.05). The completion time of anesthesia and the onset time of nerve block in the lead group were shorter than those in the matched group (P<0.05), and the duration of nerve block in the lead group was longer than that in the matched group (P<0.05). The excellent and good rate of anesthesia in the lead group was higher than that in the matched group (P<0.05), and the moderate and poor rate of anesthesia in the lead group was lower than that in the matched group (P<0.05). The overall incidence of complications in the lead group was lower than that in the matched group (P<0.05). The sensory score, motor score, coping score and total score in the lead group were higher than those in the matched group (P<0.05). The very satisfaction rate and total satisfaction rate in the lead group were higher than those in the matched group (P<0.05), and the dissatisfaction rate in the lead group was lower than that in the matched group (P<0.05). Conclusion: Compared with the nerve stimulator alone, ultrasound-guided assisted positioning of the supraclavicular brachial plexus block has the advantages of quick onset, complete block, and long duration. Ultrasound and peripheral nerve stimulator-guided techniques can improve the effectiveness of anesthesia , accuracy and safety, worthy of clinical promotion. |
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