针麻仪神经刺激与异感定位法对肌间沟臂丛一点阻滞效果的比较.pdfVIP

· 410· Medical Information Section of Operative Surgery．May．2008．Vo1．21．No ． 5 针麻仪神经刺激与异感定位法对肌间沟臂丛 一 点阻滞效果的比较 赵伟 (新乡医学院第一附属医院麻醉科，河南卫辉453100) 摘要：目的 比较异感定位或神经刺激定位对肌间沟臂丛一点阻滞效的起效时间、成功率以及并发症。 方法 以神经刺激定位法(PNS)或诱发异感法(PAR)定位臂丛神经主支，注入1．5％利多卡因和0．25％布比 卡因合剂20 ml，观察和记录阻滞操作时间，阻滞起效时间，可行手术时间及总的麻醉时间。结果 PNS组各项 时间均明显短于PAR组、PNS组的完全阻滞发生率较PAR组高(P0．05)。结论 PNS较PAR成功率更高， 阻滞出现更快，麻醉效果好，技术优势显著，值得推广。 关键词：臂丛神经阻滞；神经刺激仪；利多卡因；布比卡因 中图分类号：R246．2 文献标志码：A 文章编号：1006—1959(2008)05—0410—03 A comparison of two methods of nerve block winl nerve stimulation of acupuncture anesthesia apparatus ver- sus paresthesia point injection for brachial plxus block ZHA0 Wei (Department ofAnesthesiology，the First Affiliated Hospital of Xinxiang Medical University，Weihui 453100，Henan Province，China) Abstract：Objective To compare two methods of nerve block with nerve stimulation of acupuncture anaesthesia apparatus versus paresthesia point injection for brachial plxus block in the spaces of work time and achievement ratio and complication．Methods With the neurostimulation localization method(PNS)and paresthesia method(PAR)to do the brachial plxus block．Inject the composition 20 ml of dolicaine 1．5％and bupivacaine 0．25％to do and to observe and record the running time，working time and operating time．Results The team of PNS is shorter than the team of PAR in any indicatrix we observed．The effect of PNS is better than PAR(P0．05)．Conclusions The method of PNS is better then PAN in achievement ratio，effective of anaesthesia．The advantage of techn