摘要
Abstract
Objective:To investigate the effect of ultrasound-guided brachial plexus block anesthesia in patients with distal humerus type C fracture.Methods:78 patients with distal humerus type C fracture admitted to our hospital from March 2020 to January 2023 were selected as the study objects.According to the 1:1 random coin toss principle,the study objects were divided into an experimental group and a traditional group,with 39 cases in each group.The traditional group received ultrasound-guided brachial plexus block in subclavian intermuscular groove,and the experimental group received ultrasound-guided brachial plexus block in paracoracoid process.The resistance of the two groups was compared.Results:The onset time of anesthesia in different innervation areas in experimental groups was shorter than that in traditional group,and the difference between groups was statistically significant(P<0.05).The rate of excellent and good anesthetic effect in experimental group was higher than that in traditional group,and the differences were statistically significant(P<0.05).The complication rate of experimental group was lower than that of traditional group,and the difference was statistically significant(P<0.05).At 4,24 and 48 h after operation,the VAS scores of experimental groups were lower than those of traditional group,and the difference was statistically significant(P<0.05).Conclusion:Compared with the subclavian intermuscular groove,the application of ultrasound-guided paracoracoid brachial plexus block in the operation of distal humerus type C fracture can accelerate the onset time of innervation,reduce the occurrence of complications,reduce the resting pain score of patients,and improve the overall anesthesia block effect.关键词
锁骨下肌间沟/超声/喙突旁臂丛/神经阻滞/肱骨远端C型骨折Key words
Subclavian intermuscular sulci/Ultrasound/Paracoracoid brachial plexus/Nerve block/Distal humerus type C fracture分类
医药卫生
