超声引导下臂丛神经阻滞麻醉应用价值评价.docVIP

超声引导下臂丛神经阻滞麻醉应用价值评价 　　[摘要]目的 ?Τ?声引导下臂丛神经阻滞麻醉的应用价值进行研究及判定。 方法 选取我院2015年12月～2016年12月收治的60例上肢手术患者，其中给予传统解剖定位穿刺麻醉的30例患者作为A组，给予超声引导下臂丛神经阻滞麻醉的30例患者作为B组，两组上肢手术患者均给予盐酸利多卡因（C：1%）、盐酸罗哌卡因（C：0.375%）混合液进行局部麻醉，并记录两组患者的感觉阻滞起效时间、臂丛神经阻滞麻醉完成时间、麻醉效果（采用VAS疼痛视觉模拟评分法测定），记录其不良反应，并采用针刺法对患者对各分支神经支配区域的阻滞情况进行测定。 结果 B组上肢手术患者的感觉阻滞起效时间为（3.67±2.81）min，VAS疼痛视觉模拟评分为（2.65±0.51）分，均优于A组，且无严重不良反应发生，P0.05）。 结论 超声引导下臂丛神经阻滞麻醉的应用价值显著，相比于传统解剖定位穿刺麻醉，其感觉阻滞起效时间较短，止痛效果更佳，且无严重不良反应发生，保证了麻醉的安全性，值得在临床中推广实施。 　　[关键词]臂丛神经阻滞；麻醉；超声引导；疼痛 　　[中图分类号] R614.3 [文献标识码] A [文章编号] 2095-0616（2017）15-119-04 　　[Abstract] Objective To study and judge the value of ultrasound-guided brachial plexus block anesthesia. Methods 60 patients with upper limb surgery cured in our hospital from December 2015 to December 2016 were selected. 30 cases treated with traditional anatomical localization paracentesis anesthesia were A group， and 30 cases treated with ultrasound guided brachial plexus block anesthesia were B group. All the patients were given local anesthesia of mixture of Liddle Kain hydrochloride （C：1%） and ropivacaine hydrochloride （C：0.375%）. The onset time of sensory block， the duration of brachial plexus block anesthesia and the effect of anesthesia （measured by VAS pain visual analogue scale） of the two groups were recorded. Adverse reaction was recorded. And the block of nerve in the branches of the patients was measured by Acupuncture. Results The onset time of sensory block in group B upper limb surgery was （3.67±2.81）min， and the VAS pain visual analogue score was （2.65±0.51）points， which were all better than those in A group. And no serious adverse reactions occurred， P0.05）. Conclusion The application of ultrasound-guided brachial plexus block anesthesia is of great value. Compared with the traditional anatomical localization of puncture anesthesia， the onset time of sensory block is shorter， the analgesic effect is better， no serious adverse reactions occurred， which ensured the safety of anesthesia. It is worth popula