超声引导锁骨下臂丛神经阻滞的分析-外科学专业论文 word格式.docxVIP

plexus. The deviation of the US-modified point and VIB point was recorded. Part two: 60 patients scheduled for distal upper limb surgery were enrolled for this prospective, randomized controlled clinical trail. All patients were randomly assigned to receive ultrasound-guided infraclavicular brachial block with the mixture of 0.3% ropivacaine and 1% lidocaine 20ml (n=30) or 30ml (n=30). Sensory block of axillary nerve, musculocutaneous nerve, radial nerve, median nerve, ulnar nerve, medial brachial cutaneous nerve and medial antebrachial cutaneous nerves was assessed at 5min,10min, 15min, 20min, 25min, 30min after administration of the local anesthetic. Motor block of axillary nerve, musculocutaneous nerve, radial nerve, median nerve and ulnar nerve was evaluated at 30 min after administration of the local anesthetic. The operation time of block, the onset time of anaesthesia, the surgical success rate, the duration of analgesia and complications were recorded.Results: Part one: The distance between the center of infraclavicular brachial plexus and the skin was 2.53±0.41cm on the left and 2.54±0.45cm on the righ. The distance between the center of axillary artery and the skin was 2.78±0.48cm on the left and 2.77±0.56cm on the right. The distance between the center of infraclavicular brachial plexus and the center of axillary artery was 0.76±0.15cm on the left and 0.76±0.14cm on the right. The deviation of the US-modified point and VIB point was 0.73±0.54cm on the left and 0.74±0.51cm on the right. The deviation d of both sides differed significantly fromzero(P＜0.001). Part two: There is no difference in success rate, the onset time ofanaesthesia in both groups. The duration of analgesia was longenr in group with the mixture of 0.3% ropivacaine and 1% lidocaine 30ml (P＜0.05). Only one case of vascular puncture occurred in group with the mixture of 0.3% ropivacaine and 1% lidocaine 20ml.Conclusion: Part one: The VIB technique is not accurate enough to pred