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神经刺激仪辅助下连续肌间沟法联合腋路臂丛神经阻滞在上肢手术中的应用

, PP. 1015-1016

Keywords: 神经刺激仪,臂丛神经,神经阻滞

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Abstract:

目的在神经刺激仪的辅助下,运用连续肌间沟法联合腋路臂丛神经阻滞方法,探讨其在上肢手术中的麻醉效果、术后镇痛效果及可能发生的并发症。方法选择行上肢手术的患者60例,应用神经刺激仪和高度绝缘的80mm斜面阻滞针先行肌间沟法臂丛神经阻滞。并运用视觉模拟评分法判断术后镇痛的效果。结果所有患者血压、脉搏均平稳,神经阻滞效果满意,患肢的位置感觉消失,运动消失,镇痛完全。所有患者未用任何辅助药物,顺利完成手术。无并发症及局麻药毒性反应。术后镇痛的患者镇痛效果满意,无不良反应。结论神经刺激仪辅助下臂丛神经阻滞定位准确,成功率高,连续肌间沟法联合腋路臂丛神经阻滞能安全满意的完成上肢手术。应用肌间沟局部神经阻滞镇痛效果满意。

References

[1]  Singelyn FJ, Lhotel L, Fabre B. Pain relief after arthroscopic shoulder surgery: a comparison of intraarticular analgesia, suprascapular nerve block, and interscalene brachial plexus block[J]. Anesth Analg,2004, 99:589-592.
[2]  Delaunay L, Souron V, Lafosse L, et al. Analgesia after arthroscopic rotator cuff repair: subacromial versus interscalene continuous infusion of ropivacaine[J]. Reg Anesth Pain Med,2005, 30: 117-122.
[3]  Borgeat A, Kalberer F, Jacob H, et al. Patientcontrolled interscalene analgesia with ropivacaine 0.2% versus bupivacaine 0.15% after major open shoulder surgery: the effects on hand motor function[J]. Anesth Analg, 2001,92: 218-223.
[4]  薛智东,吴新民. 神经刺激器在臂丛神经阻滞中的应用[J].临床麻醉学杂志, 2002,18:1321.
[5]  徐仲煌,黄宇光,任洪智,等.神经刺激仪定位神经阻滞在临床麻醉中的应用[J].临床麻醉学杂志,2001,17:278-279.
[6]  万里.神经刺激器在外周神经阻滞中的应用[J].国外医学:麻醉学与复苏分册,2003,24(5):307-309.
[7]  Inberg P, Annila I, Annila P. Dual-injection method using peripheral nerve stimulator is superior to single injection in axillary plexus block[J]. Reg Anesth Pain Med, 1999,24:509?513.
[8]  Coventry DM, Barker KF, Thomson M. Comparison of two neurostimulation techniques for axillary brachial plexus blockade[J]. Br J Anaesth,2001,86:80?83.
[9]  Jaime R, Barcena M, Taboada-Muniz M,et al. A comparison of single versus multiple injections on the extent of anesthesia with coracoid infraclavicular brachial plexus block[J]. Anesth Analg,2004,99:1225?1230.

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