• 超声引导下不同入路臂丛神经阻滞在前臂骨折内固定术患者中的应用效果对比
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    中文关键词:  超声引导  锁骨下臂丛神经阻滞  肋锁间隙入路  喙突旁入路
    英文关键词:Ultrasonic guidance  Subclavian brachial plexus block  Intercostal interlocking approach  Paracoracoid approach
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    作者单位邮编
    李晶晶* 漯河市召陵区人民医院麻醉科 462000
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    中文摘要:
          【摘要】 目的 分析不同入路锁骨下臂丛神经阻滞在前臂骨折手术患者的应用 方法 选取2022年1月至2024年1月收治并接受前臂骨折手术的120例患者为研究对象,均采用超声引导下锁骨下臂丛阻滞麻醉,按照入路的不同,将其分为肋锁间隙入路组与喙突旁入路组,每组60例,比较两组患者感觉阻滞起效时间、运动阻滞起效时间、神经阻滞持续时间以及第1次自控镇痛追加药物时间。结果 两组患者在感觉阻滞起效时间、运动阻滞起效时间、神经阻滞持续时间以及第1次自控镇痛追加药物时间无显著差异(P<0.05);术后6、12、24 h,两组患者疼痛评分无显著差异(P<0.05)。结论 超声引导下锁骨下臂丛阻滞麻醉,肋锁间隙入路与喙突旁入路均能安全应用于前臂骨折手术患者,术后镇痛效果良好。
    英文摘要:
          [Abstract] Objective To analyze the application methods of subclavian brachial plexus block in patients with forearm fracture surgery by different approaches 120 patients who were admitted and received forearm fracture surgery from January 2022 to January 2024 were selected as the study objects, all of whom were anesthesized by subclavian brachial plexus block under ultrasound guidance. According to different approaches, The patients were divided into costoclavicular space approach group and paracoracoid approach group, with 60 cases in each group. The onset time of sensory block, motor block onset time, nerve block duration and the time of the first controlled analgesia addition were compared between the two groups. Results There were no significant differences in sensory block onset time, motor block onset time, nerve block duration and the time of the first controlled analgesia supplement between the two groups (P < 0.05). At 6, 12 and 24 h after surgery, there was no significant difference in pain scores between the two groups (P < 0.05). Conclusion Ultrasound-guided subclavian brachial plexus block anesthesia, costoclavicular space approach and paracoracoid approach can be safely used in patients with forearm fracture surgery, and the postoperative analgesia is good.