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《超聲引導(dǎo)下肌間溝臂叢神經(jīng)阻滯的效果研究》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。
1、38·論著·December2013，Vo1．11，No．35圍衄超聲引導(dǎo)下肌間溝臂叢神經(jīng)阻滯的效果研究趙艷平陳雯婷。周錦輝黎德恩(1東莞市石碣醫(yī)院麻醉科，廣東東莞523290；2廣州市南方醫(yī)院麻醉科，廣東廣州510515；3東莞市石碣醫(yī)院麻醉科，廣東東莞523290；4東莞市石碣醫(yī)院手術(shù)室，廣東東莞523290)【摘要】目的探討超聲引導(dǎo)下肌間溝臂叢神經(jīng)阻滯的臨床應(yīng)用價(jià)值。方法選取2013年3月至2013年9月間于廣州南方醫(yī)院和我院行上肢手術(shù)治療的患者64例，隨機(jī)分為對(duì)照組和觀察組，對(duì)照組患者行傳統(tǒng)解剖定位肌間溝臂叢神經(jīng)阻滯，觀察組患者行超聲引導(dǎo)下肌間溝臂叢神經(jīng)阻滯，觀察兩
2、組的各項(xiàng)指標(biāo)、麻醉效果及并發(fā)癥。結(jié)果觀察組惠者麻醉效果優(yōu)良率明顯高于對(duì)照組；觀察組患者麻醉操作時(shí)間、起效時(shí)間、完全阻滯時(shí)間、維持時(shí)間均明顯短于對(duì)照組；觀察組患者并發(fā)癥發(fā)生率明顯低于對(duì)照組。結(jié)論超聲引導(dǎo)下肌間溝臂叢神經(jīng)阻滯安全、有效，麻醉效果佳，麻醉并發(fā)癥少，值得推廣。【關(guān)鍵詞】超聲引導(dǎo)；臂叢；神經(jīng)阻滯中圖分類號(hào)：R614．4文獻(xiàn)標(biāo)識(shí)碼：B文章編號(hào)：1671—8194(2013)35—0038-02EfectofUltrasound—guidedInterscaleneBrachialPlexusBlockZHA0Yan-ping，CHENWen—ting2,ZHOUJinh
3、uf,LIDe—en(，DepartmentofAnesthesiology,ShijieHospital,Dongguan523290,China,"2DepartmentofAnesthesiology,NanfangHospital,Guangzhou510515,China；3DepartmentofOperatingRoom，ShijieHospital,Dongguan523290,China)【AbstractlObjectiveTostudybetweenmuscleundertheguidanceofultrasoundditchtheclinicalva
4、lueofbrachialplexusblock．MethodsSelectedlineofupperlimbsofsurgicaltreatmentof64casesofpatientsinguangzhoun~fanghospitalandourhospitalfromMarch2013toSeptember2013，dividedintocontrolgroupandobservationgrouprandomly,controlgrouppatientsbetweentraditionalanatomicalmuscleditchbrachialplexusbloc
5、k，observationgrouppatientsbetweenmuscleundertheditchbrachialplexusnerveblockguidedbyultrasound，observethetWOgroupsofindicators，theanesthesiaefectandcomplications．Results‘Observationgroupofpatientswithanesthesiawassignificantlyhigherthanthecontrolgroup：Observationgroupofpatientsanesthesiaop
6、erationtime，worktime，completelyblocktime，maintaintimeweresignificantlyshorterthanthecontrolgroup：Thecomplicationrateofobservationgroupofpatientssignificantlylowerthanthecontrolgroup．ConclusionUltrasoundguidedgroovebetweenmusclebrachialplexusblockissafe，efective，goodanaesthesiaefect，lessane
7、sthesiacomplications，worthyofpromotion．IKeywords】Guidedbyultrasound；Brachialplexus；Nerveblock肌間溝臂叢神經(jīng)阻滯是臨床上常用麻醉方法之一，在上肢手術(shù)治療頻率：6-13MHz)探頭涂抹耦合劑后覆以無菌手套，然后將其置于鎖中占據(jù)著重要地位，但該種操作具有一定的盲目性，在臨床應(yīng)用中存骨中點(diǎn)依次觀察胸鎖乳突肌斜角肌及臂叢神經(jīng)，并注意選取肌間溝在一定的失敗率，且無法準(zhǔn)確躲避血管、神經(jīng)等重要結(jié)構(gòu)?。隨著超臂叢神經(jīng)最佳圖像，確定最佳穿刺點(diǎn)
