护理配合对提高超声引导下肌间沟臂丛神经阻滞麻醉效果分析.docVIP

护理配合对提高超声引导下肌间沟臂丛神经阻滞麻醉效果分析 　　[摘要] 目的 探讨护理配合对提高超声引导下神经阻滞麻醉效果。 方法 选取2014年7月～2015年7月在我院接受超声引导下神经阻滞穿刺技术560例患者，随机将其分为对照组和实验组，各280例，其中对照组患者使用常规方案，而实验组在对照组基础上采用护理配合方案，比较两组患者的麻醉效果。 结果 采用护士配合后，实验组阻滞的操作时间[（46.67±8.90）min]、镇痛效果（3.64±0.79）均明显低于对照组，差异有统计学意义（P0.05）；实验组麻醉成功率（97.14%）明显高于对照组（87.00%），差异有统计学意义（P0.05）；实验组患者的麻醉优良率（96.42%）明显高于对照组（80.00%），差异有统计学意义（P0.05）；实验组患者并发症发生率（3.21%）明显低于对照组（10.70%），差异有统计学意义（P0.05）。 结论 护士配合参与后，超声引导下神经阻滞麻醉较好，可明显提高麻醉成功率及优良率，且可降低并发症发生率，临床应用价值较大。 　　[关键词] 护理配合；超声引导神经阻滞；麻醉 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2016）04（c）-0165-04 　　Effect analysis of nursing cooperation in enhancing interscalene brachial plexus nerve block anesthesia under ultrasonic guidance 　　PENG Li-zhen DENG Ming-feng CHEN Jing-fen 　　Department of Anesthesiology，Sanshui Hospital of Traditional Chinese Medicine Hospital，Foshan City in Guangdong Province，Foshan 528100，China 　　[Abstract] Objective To explore the anesthesia effects of nursing cooperation in enhancing interscalene brachial plexus nerve block under ultrasonic guidance. Methods 560 patients who conducted nerve block centesis under ultrasonic guidance from June 2014 to June 2015 of our hospital were selected and were random divided into control group and experimental group.Each group was 280 cases.Patients in control group were given routine scheme and patients in experimental group were used nursing cooperation scheme on the basis of control group.The anesthesia effects in two groups were compared. Results After using nursing cooperation，the operation time and analgesic effects of blocking in experimental group was respectively（46.67±8.90）min and （3.64±0.79），obvious lower than that of control group，and the difference was statistical significance （P 　　[Key words] Nursing cooperation；Nerve block under ultrasonic guidance；Anesthesia 　　臂丛神经阻滞麻醉被认为是一种有创操作，其被用来肩部以下的上肢相关手术，诸如上臂、前臂或肘部以及手部等，而常规传统的肌间沟穿刺大多依靠某种解剖标志及麻醉医师的经验来完成操作，导致了较高的失败率和并发症发生率。应用神经刺激器进行定位被认为是一种盲探法，不可避免对患者的神经造成损伤，而超声显像可显示患者的解剖结构，能清楚地定位神经。目前，超声引导下神经阻滞穿刺技术的