摘要
Abstract
Objective To discuss the anaesthetic effects of such methods as muscle intergroove blocking, armpit brachial plexus blocking, the combination of muscle intergroove blocking and armpit brachial plexus blocking in operations involving areas innervated by both ulnar nerves and radial nerves of the upper extremity. Methods 60 cases of more than one finger trauma and trauma range involving the thumb and little Finger undergoing debridement surgery in our hospital during January 2011 and July 2011 were randomly divided into group A, B and C. Group A underwent muscle intergroove blocking, group B armpit brachial plexus blocking, group C the combination of muscle intergroove blocking and armpit brachial plexus blocking. Acupuncture anesthesia was used to test anesthetic effect 20 min later, and the visual analog scale (VAS) was used to evaluate the anesthetic effect. Results 20 min after anesthesia, the effects in the ulnar nerve dominating regional anesthesia was better in group C than in group A. Effects of disposable regional anesthesia were better than that of group B, and the difference was statistically significant (P <0.05). The VAS evaluation of the degree of pain showed that thse was significant difference in ulnar scores between group A and C (t = 6. 9793, P < 0.05); compared with group C, scores of radial side in group B showed statistically significant differences(t=6.7626, P < 0.05 ). In scores of the radial side of group A and group C, and the ulnar scores of group B and group C, differences were not statistically significant (t =0. 1833, t =0. 4727, P >0. 05). Conclusion The combination of muscle intergroove blocking and armpit brachial plexus blocking has preferable anaesthetic effects on operations on the upper extremities, especially those involving areas innervated by both ulnar nerves and radial nerves.关键词
上肢/外科手术/神经肌肉阻滞/肌间沟阻滞法/腋路臂丛阻滞法Key words
Upper extremity/ Surgical procedure/ Neuromuscular blockade/ Muscle intergroove blocking/ Armpit brachial plexus blocking分类
医药卫生
