广西医学2023，Vol.45Issue(20)：2447-2451,5.DOI:10.11675/j.issn.0253-4304.2023.20.05
超声引导下经肋锁间隙入路臂丛神经阻滞在上肢骨折手术中的应用效果
Application effect of ultrasound-guided brachial plexus block via costoclavicular space approach in upper extremity fracture surgery
摘要
Abstract
Objective To investigate the application effect of ultrasound-guided brachial plexus block via costoclavicular space approach in upper extremity fracture surgery.Methods A total of 80 patients receiving upper extremity fracture surgery of ultrasound-guided brachial plexus block were randomly divided into via costoclavicular space approach group(CC group)or via coracoid approach group(CA group),with 40 cases in each group.Status of brachial plexus block,postoperative analgesia conditions,occurrence of postoperative adverse reactions were compared between patients of the two groups.Results The CC group exhibited shallower puncture depth of brachial plexus block as compared with the CA group,shorter block operation duration and onset time as compared with the CA group(P＜0.05);moreover,higher successful rates of comprehensive block in various time points except for 5 and 30 minutes after nerve block operation as compared with the CA group(P＜0.05).After 12,18,24,and 36 hours of operation,the CC group yielded lower Visual Analogue Scale score for pain in resting state and motor state as compared with the CA group(P＜0.05).There was no statistically significant difference in the total incidence rate of adverse reactions between the two groups(P＞0.05).Conclusion Employing ultrasound-guided brachial plexus block via costoclavicular space approach in upper extremity fracture surgery has advantages of easy and simple operation,rapid onset,favorable analgesic effect,and a low incidence rate of adverse reactions,etc.关键词
臂丛神经阻滞/上肢骨折/麻醉入路/超声/效果Key words
Brachial plexus block/Upper extremity fracture/Anesthesia approach/Ultrasound/Effect分类
医药卫生引用本文复制引用
左小明,李同,刘琳..超声引导下经肋锁间隙入路臂丛神经阻滞在上肢骨折手术中的应用效果[J].广西医学,2023,45(20):2447-2451,5.基金项目
江苏医药职业学院建湖临床学院立项项目(20229JH11) （20229JH11）
