超声引导下C6单点肌间沟臂丛联合颈浅丛阻滞在锁骨手术中的临床效果观察.docxVIP

超声引导下C6单点肌间沟臂丛联合颈浅丛阻滞在锁骨手术中的临床效果观察 徐知菲　杨秀露　金峰　梁栋梁　姚娟　刘颖　唐在荣 [摘要] 目的 觀察超声引导下C6单点肌间沟臂丛联合颈浅丛阻滞在锁骨手术中的临床效果。 方法 选取我院择期行锁骨手术患者80例，男41例，女39例，年龄18～70岁，ASAⅠ～Ⅱ级，分为传统肌间沟臂丛+颈浅丛两点神经阻滞法（C组）与超声引导下C6单点肌间沟臂丛+颈浅丛阻滞法（U组），每组40例，以1%利多卡因+0.375%罗哌卡因分别行肌间沟臂丛神经（10 mL）及颈浅丛阻滞（10 mL）。观察两组患者的神经阻滞操作时间、阻滞起效时间及阻滞效果，并记录两组患者的不良反应。 结果 U组神经阻滞操作时间、阻滞起效时间均短于C组（P0.05）;U组术中VAS评分低于C组，且U组不良反应明显少于C组（7.5% vs 22.5%，P0.05）。 结论 与传统的两点法神经阻滞比较，超声引导下C6单点肌间沟臂丛联合颈浅丛阻滞操作时间短、麻醉起效快、效果确切且并发症少。 [关键词] 超声引导;C6单点肌间沟臂丛;颈浅丛阻滞;锁骨 [中图分类号] R614.4 [文献标识码] B [文章编号] 1673-9701（2020）21-0135-03 Observation of clinical effect of ultrasound-guided C6 single-point intermuscular brachial plexus combined with superficial cervical plexus block in the clavicle operation XU Zhifei YANG Xiulu JIN Feng LIANG Dongliang YAO Juan LIU Ying TANG Zairong Department of Anesthesiology，Gaoyou City Hospital of Traditional Chinese Medicine in Jiangsu Province，Gaoyou 225600，China [Abstract] Objective To observe the clinical effect of ultrasound-guided C6 single-point intermuscular brachial plexus combined with superficial cervical plexus block in clavicle surgery. Methods A total of 80 patients with elective clavicle surgery，including 41 males and 39 females，aged 18 to 70 years old，grade ASA Ⅰ to Ⅱ，were selected in our hospital. They are divided into the traditional two-point nerve block method of intermuscular sulcus brachial plexus+superficial cervical plexus （group C） and ultrasound-guided C6 single-point intermuscular brachial plexus+superficial cervical plexus block method（group U）， with 40 cases in each group.1%lidocaine+0.375% ropivacaine wereused for brachial plexus nerve （10 mL） and superficial cervical plexus block（10 mL） respectively in the two groups. The nerve block operation time，block onset time and block effect of the two groups were observed，and the adverse reactions of the two groups were recorded. Results The nerve block operation time and block onset time of group U were shorter th