锁骨骨折内固定术中不同麻醉方法的效果比较.docVIP

精品论文 参考文献 锁骨骨折内固定术中不同麻醉方法的效果比较 买勇忠 杨占宏 　　(宁夏吴忠市人民医院 宁夏　吴忠　751100) 　　【摘要】 目的：观察不同的麻醉方法在锁骨骨折内固定术中的应用效果，探究最理想的麻醉方法。方法：选取2013年1月—2014年7月之间我院收治的锁骨骨折患者100例，均行内固定术治疗，将其随机分为两组，每组各50例。观察组、对照组采用的麻醉方式分别为臂丛神经阻滞加颈浅丛神经阻滞、单纯臂丛神经阻滞，比较其麻醉效果。结果：观察组、对照组患者在术中的麻醉效果优良率分别为86.0%和66.0%，对照组明显高于观察组，差异显著，Plt;0.05，具有统计学意义。结论：在锁骨骨折内固定术中实行臂丛神经阻滞加颈浅丛神经阻滞麻醉方法能够获得理想的麻醉效果，而且对于任何骨折部位效果均较好，值得在临床上进行推广。 　　【关键词】锁骨骨折；内固定术；麻醉方法；效果 　　【中图分类号】R614 【文献标识码】A 【文章编号】2095-1752（2015）06-0132-02 　　The effect of different anesthetic methods in clavicle fracture fixation 　　Mai Yongzhong, Yang Zhanhong. Wuzhong City Peoples Hospital, Ningxia 751100, China 　　【Abstract】Objective Observe different anesthetic methods in the application of clavicle fracture fixation effect, to explore an ideal anesthetic method. Methods From January 2013 to July 2014, our hospital selected 100 cases of clavicle fracture patients, and both inline fixation treatment, will be randomly divided into two kinds, each 50 cases in each group. Anesthesia methods used by observation group and control group respectively for brachial plexus block with shallow cervical plexus nerve block, pure brachial plexus block, compare the anesthesia effect. Results Observation group and control group of patients in the perioperative anesthesia was 86.0% and 66.0%, respectively, the control group significantly greater than the observation group, significant difference, P lt; 0.05, with statistical significance. Conclusions Implementation of brachial plexus nerve block in the clavicle fracture fixation with cervical plexus nerve block anesthesia method can obtain ideal anesthetic effect, but also for any fracture effect is good, is worth popularization in the clinical. 　　【Key words】Clavicle fracture; Internal fixation; Anesthesia method; The effect 　　因为锁骨处于人体比较表浅的位置，所以有很大几率会发生骨折。有关资料显示，在全身骨折中，发生锁骨骨折的几率大约占5%～10%，目前在临床中通常行内固定术对锁骨骨折进行治疗[1]。在临床手术中较多的会采用臂丛神经加颈浅丛神经阻滞。为更好的探讨臂丛加颈浅丛神经阻滞的应用效果，我们进行了相关研究，现报道如下。 　　1．资料与方法 　　1.1 一般资料 　　选取2013