三种不同定位方法行臂丛神经阻滞比较观察.docVIP

三种不同定位方法行臂丛神经阻滞的比较观察 　　基金项目：2013年广东省江门市科技计划项目(江科［2013］83号)?? 　　作者简介：陈振华，男，副主任医师，医学学士。E-mail:shuishui_1919@163.com. 　　陈振华??1，黄惠英??1，罗小贞??2?? 　　(广东省江门市五邑中医院，1.麻醉科，2.手术室，江门 529000) 　　【摘要】目的总结三种不同定位方法行臂丛神经阻滞的临床效果。 　　方法以60例拟行断指再植手术的患者作为研究对象，随机分为B超引导组、神经刺激仪组、传统盲探组，每组20例。三组患者分别采取B超定位、神经刺激仪定位和传统盲探定位进行臂丛神经阻滞。观察各组临床疗效，比较三组的起效时间、麻醉优良率及并发症的发生情况。 　　结果B超引导组主要分支阻滞起效时间最短，其次为神经刺激仪组，传统盲探组起效时间最长；三组的起效时间两两比较差异有统计学意义(??P?В?0??01)。B超引导组麻醉优良率最高，其次为神经刺激仪组，传统盲探组麻醉优良率最低；B超引导组与神经刺激仪组麻醉效果接近（??P?В?0??05），而与传统盲探组比较差异有统计学意义(??P?В?0??05)。 　　结论 B超定位引导下臂丛神经阻滞在起效时间和麻醉效果方面，优于神经刺激仪辅助定位和传统盲探定位，值得临床推广。?? 　　?ぁ竟丶?词】B超引导；神经刺激仪；传统定位；臂丛神经阻滞?? 　　中图分类号：R614.4文献标识码：A文章编号：1003??1383(2014)03??0269??03?? 　　DOI:10.3969/j.issn.1003??1383.2014.03.002?お? 　　Comparison of three positioning ways for brachial plexus block 　　CHEN Zhenhua??1,HUANG Huiying??1,LUO Xiaozhen??2?? 　　(1.Department of Anesthesiology,2.Oprating Room,Wuyi Traditional Chinese ??Medicine Hospital,Jiangmen 529000,Guangdong,China) 　　【Abstract】ObjectiveTo summarize the clinical effect of brachial plexus nerve block anesthesia under three positioning ways. 　　Methods60 patients who were scheduled to replant amputated finger,were randomly divided into three groups： ultrasonography group,neurostimulator group and traditional blind positioning group with 20 cases in each group.Three groups of patients,respectively,were given B ultrasonic positioning,nerve stimulator positioning and traditional blind positioning for brachial plexus block.The onset time,the fine rate of anesthesia and complications were compared between three groups. 　　Results The ultrasonography group had the shortest onset time in nerve block while the traditional blind positioning group needed the longest onset time.The differences of pairwise comparison in onset time of all groups were statistically significant(??P?В?0??01).The ultrasonography group had the highest fine good rate of anesthesia and the traditional blind positioning group got the lowest one.The ultrasonograph