四川医学Issue(7)：961-964,4.DOI:10.16252/j.cnki.issn1004-0501-2015.07.015
不同臂丛神经阻滞法在肘关节术后镇痛及早期功能锻炼的临床效果
Clinic Observation for Elbow Postoperative Analgesia and Early Active Mobilization in Different Axillary Brachial Plexus Block Methods
杨光 1苏丽 1严娅岚 1张兰1
作者信息
- 1. 四川省骨科医院麻醉科，四川 成都610041
- 折叠
摘要
Abstract
Objective Observe the recovery matters of the elbow surgery patients’ postoperative analgesia and early func-tional training effect by using single or continuous axillary brachial plexus block. Methods Eighty ASAⅠ/Ⅱpatients undergo-ing elective elbow surgery were stochastically divided into continuous axillary brachial plexus block group( group C) and intrave-nous analgesia group( group I) . Continuous axillary brachial plexus block is used in group C,and single nerve block united intrave-nous controlled analgesia is for group I. Postoperative pain,analgesia,elbow active mobilization and untoward effects in different time points of the patients in two groups are observed. Results In aspects of the rate of nausea and vomiting and the amount of postoperative analgesia usage,the value of group C is much lower than that of group I. The VAS pain scores( rest and active) and Ramsay analgesia scores in group C are lower than that of group I in all time-points but 2-hour-VAS pain scores( rest and active) and 2-hour-Ramsay analgesia scores after operation are the same. There’ re no obvious differences in Broberg and Morrey scores in all time points for the two groups. Conclusion Better postoperative analgesia effect for elbow surgery patients comes from continu-ous axillary brachial plexus block,which reduces the untoward effect by largely using central analgesia to improve postoperative liv-ing quality and make for patients’ active mobilization in early phase.关键词
肘关节/连续臂丛神经阻滞/术后镇痛/功能锻炼Key words
elbow/continuous axillary brachial plexus block/postoperative analgesia/active mobilization分类
医药卫生引用本文复制引用
杨光,苏丽,严娅岚,张兰..不同臂丛神经阻滞法在肘关节术后镇痛及早期功能锻炼的临床效果[J].四川医学,2015,(7):961-964,4.
