B超联合神经刺激仪行臂丛神经阻滞临床效果,关于免费神经阻滞论文范文在这里免费下载与阅读,为您的神经阻滞相关论文写作提供资料。
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摘 要 目的：探討B超联合神经刺激仪行臂丛神经阻滞的临床效果.方法：收集2015年6月至2016年6月择期行上肢手术患者60例,按照定位方式不同分为观察组33例和对照组27例.对照组采用B超引导下臂丛神经阻滞,观察组采用B超联合神经刺激仪引导下臂丛神经阻滞,比较两组患者麻醉操作时间、臂丛神经痛觉阻滞起效总时间、阻滞完善总时间以及各臂丛神经痛觉阻滞完善率.结果：观察组麻醉操作时间、阻滞起效总时间、阻滞完善总时间分别为（3.49±0.62）min、（20.88±2.32）min和（52.97±3.08）min,对照组分别为（4.73±0.68）min、（31.05±2.47）min和（78.96±3.77）min,组间差异有统计学意义（P<0.05）.观察组正中神经痛觉阻滞完善率为100.00%（33/33）,显著高于对照组的88.89%（24/27,P<0.05）.两组桡神经、尺神经、肌皮神经、前臂内侧皮神经痛觉阻滞完善率和麻醉优良率差异无统计学意义（P>0.05）.但观察组麻醉优秀率为96.97%（32/33）显著高于对照组的81.48%（22/27,P<0.05）.结论：B超联合神经刺激仪行臂丛神经阻滞效果优于单纯B超引导下臂丛神经阻滞,值得推荐.
关键词 麻醉；臂丛神经阻滞；B超；神经刺激仪
中图分类号：R614.4 文献标志码：A 文章编号：1006-1533（2017）14-0032-02
Clinical effect of B ultrasound combined with nerve stimulator on brachial plexus block
LIU Chunling（Department of Anesthesiology of Traditional Chinese Medicine Hospital of Xinyu, Xinyu 338000, Jiangxi Province, China）
ABSTRACT Objective： To investigate the clinical effect of B ultrasound combined with nerve stimulator on brachial plexus block. Methods： According to the different positioning methods 60 patients undergoing upper limb surgery from June 2015 to June 2016 were divided into an observation group with 33 cases and a control group with 27 cases. The control group took the B ultrasound guidance for brachial plexus block, and the observation group adopted B ultrasound combined with nerve stimulator guiding brachial plexus block, and the operation time, anesthesia effect of brachial plexus block pain time, complete block time and the total brachial plexus block pain improvement rate of patients in the two groups were compared. Results： The operation time, the total time of onset of anesthesia, and the total time of improvement were （3.49±0.62） min, （20.88±2.32） min and （52.97±3.08） min in the observation group, respectively and those of the control group were （4.73±0.68） min, （31.05±2.47） min and （78.96±3.77） min, respectively, and the differences were statistically significant （P<0.05）. In the observation group, the perfect rate of median nerve block was 100%（33/33）, which was significantly higher than that of the control group 88.89% （24/27, P<0.05）. There were no significant differences between the two groups in radial nerve, ulnar nerve, musculocutaneous nerve, medial forearm cutaneous nerve block and the excellent rate of anesthesia （P>0.05）. But the excellent rate of the observation group was 96.97%（32/33）, which was significantly higher than that of the control group 81.48% （22/27, P<0.05）. Conclusion： The effect of B ultrasound combined with nerve stimulator on brachial plexus block is better than that of B ultrasound guidance for brachial plexus block, which is worthy of recommendation.
结论：适合神经阻滞论文写作的大学硕士及相关本科毕业论文，相关神经阻滞治疗费用开题报告范文和学术职称论文参考文献下载。
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