山西医科大学学报2012，Vol.43Issue(6)：464-466,3.DOI:10.3969/J.ISSN.1007-6611.2012.06.019
C形臂X射线机定位肌间沟臂丛神经阻滞
Clinical observation on interscalene brachial plexus block guided by C-arm X-ray machine
周文 1李军 2王维林 3徐德朋1
作者信息
- 1. 解放军第九七医院麻醉科,徐州,221004
- 2. 温州医学院附属第二医院麻醉科
- 3. 建湖县人民医院麻醉科
- 折叠
摘要
Abstract
Objective To compare the anesthetic effects of interscalene brachial plexus block guided by elicitation of paresthesia and C-arm X-ray machine during surgeries of the upper arm , forearm and hand. Methods Sixty patients scheduled for upper arm , forearm, and hand surgeries were randomly divided into two groups (re =30 in each group). The needle was inserted perpendicularly to the skin at the level of the transverse process of C 6 ,when a paresthesia was elicited ,the mixture of 1.0% lidocaine and 0.3% ropivacaine (with 1: 200 000 epinephrine) was injected in group A. The needle was inserted guided by C -arm X-ray machine, when the posterior tubercle of transverse process of C 7 was encountered, the same mixture was injected in group B. The effects were evaluated by patient ' s chief complaints and orthopedists. Results The incidence of grade Ⅰ was significantly higher in group B than that in group A (P < 0.01). The incidence of grade Ⅲ was significantly lower in group B than that in group A (P <0.01). The incidence of adverse reactions had no significant difference between two groups (P >0.05). Conclusion The anesthetic effects of interscalene brachial plexus block guided by C-arm X-ray machine is more effective than that by elicitation of paresthesia in the upper arm ,forearm,and hand surgeries.关键词
肌间沟阻滞/臂丛神经/C形臂X射线机Key words
interscalene block / brachial plexus / C-arm X-ray machine分类
医药卫生引用本文复制引用
周文,李军,王维林,徐德朋..C形臂X射线机定位肌间沟臂丛神经阻滞[J].山西医科大学学报,2012,43(6):464-466,3.
