实用临床医药杂志2012，Vol.16Issue(17)：52-55,4.
外周神经刺激器引导下的锁骨下路和腋路臂丛神经阻滞效果的比较研究
A comparison study on the effects of infraclavicular and axillary technique for brachial plexus block using peripheral nerve stimulator
刘成龙 1倪进 1张斌 1杨家兵 1金晓春1
作者信息
- 1. 苏州大学医学院附属高邮市人民医院麻醉科,江苏高邮,225600
- 折叠
摘要
Abstract
Objective To compare the effects of infraclavicular and axillary techniques for brachial plexus block. Methods Sixty patients scheduled for elective forearm and hand surgery were randomly divided into 2 equal groups. The patients were then allocated to receive the block either by vertical infraclavicular (group I, n =30) or axillary approach (group A, n =30) using 40 mL of drug (20 mL of 0. 5% ropivacaine + 10 rnL of 2% lidocaine + 10 mL normal saline). Sensory block of musculocutaneous, radial, ulnar, median, medial cutaneous nerves of arm and forearm and intercostobrachial nerve, motor block, duration of sensory block, incidence of successful block and various complications were recorded. Results The differences between the two groups were statistically insignificant except the sensory block of intercostobrachial nerve, which was blocked significantly more in group I than in group A (P<0. 05) and a higher rate of vessel puncture in axillary group (P < 0. 05 ). Conclusion Both techniques provide adequate surgical anaesthesia for upper limb surgeries. And the infraclavicular can block intercostobrachial nerve better while the axillary leads to a higher vascular puncture.
关键词
垂直锁骨下臂丛神经阻滞/腋路臂丛神经阻滞/肋间臂神经/肌皮神经刺激器Key words
vertical infraclavicular block/ axillary block/ intercostobrachial nerve/ musculocutaneous nerve/ peripheral nerve stimulator
分类
医药卫生引用本文复制引用
刘成龙,倪进,张斌,杨家兵,金晓春..外周神经刺激器引导下的锁骨下路和腋路臂丛神经阻滞效果的比较研究[J].实用临床医药杂志,2012,16(17):52-55,4.
