b超联合神经刺激仪行臂丛神经阻滞的临床效果.docVIP

B超联合神经刺激仪行臂丛神经阻滞的临床效果 　　摘 要 目的：探?B超联合神经刺激仪行臂丛神经阻滞的临床效果。方法：收集2015年6月至2016年6月择期行上肢手术患者60例，按照定位方式不同分为观察组33例和对照组27例。对照组采用B超引导下臂丛神经阻滞，观察组采用B超联合神经刺激仪引导下臂丛神经阻滞，比较两组患者麻醉操作时间、臂丛神经痛觉阻滞起效总时间、阻滞完善总时间以及各臂丛神经痛觉阻滞完善率。结果：观察组麻醉操作时间、阻滞起效总时间、阻滞完善总时间分别为（3.49±0.62）min、（20.88±2.32）min和（52.97±3.08）min，对照组分别为（4.73±0.68）min、（31.05±2.47）min和（78.96±3.77）min，组间差异有统计学意义（P0.05）。但观察组麻醉优秀率为96.97%（32/33）显著高于对照组的81.48%（22/27，P 　　关键词 麻醉；臂丛神经阻滞；B超；神经刺激仪 　　中图分类号：R614.4 文献标志码：A 文章编号：1006-1533（2017）14-0032-02 　　Clinical effect of B ultrasound combined with nerve stimulator on brachial plexus block 　　LIU Chunling（Department of Anesthesiology of Traditional Chinese Medicine Hospital of Xinyu， Xinyu 338000， Jiangxi Province， China） 　　ABSTRACT Objective： To investigate the clinical effect of B ultrasound combined with nerve stimulator on brachial plexus block. Methods： According to the different positioning methods 60 patients undergoing upper limb surgery from June 2015 to June 2016 were divided into an observation group with 33 cases and a control group with 27 cases. The control group took the B ultrasound guidance for brachial plexus block， and the observation group adopted B ultrasound combined with nerve stimulator guiding brachial plexus block， and the operation time， anesthesia effect of brachial plexus block pain time， complete block time and the total brachial plexus block pain improvement rate of patients in the two groups were compared. Results： The operation time， the total time of onset of anesthesia， and the total time of improvement were （3.49±0.62） min， （20.88±2.32） min and （52.97±3.08） min in the observation group， respectively and those of the control group were （4.73±0.68） min， （31.05±2.47） min and （78.96±3.77） min， respectively， and the differences were statistically significant （P0.05）. But the excellent rate of the observation group was 96.97%（32/33）， which was significantly higher than that of the control group 81.48% （22/27， P 　　KEY WORDS anesthesia； brachial plexus block； B u