|本期目录/Table of Contents|

[1]刘金花,邓莎,许荔,等.超声引导下选择性臂丛神经阻滞辅助肩关节镜围手 术期镇痛[J].国际骨科学杂志,2023,05:327-331.
　LIU Jinhua,DENG Sha,XU Li,et al.Application of a selective brachial plexus block in the perioperative period of shoulder arthroscopy[J].International Journal of Orthopaedics,2023,05:327-331.
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超声引导下选择性臂丛神经阻滞辅助肩关节镜围手 术期镇痛(PDF)

《国际骨科学杂志》[ISSN:1673-7083/CN:31-1952/R]

期数:
2023年05期
页码:
327-331
栏目:
临床研究
出版日期:
2023-09-30

文章信息/Info

Title:
Application of a selective brachial plexus block in the perioperative period of shoulder arthroscopy
作者:
刘金花; 邓莎; 许荔; 朱慧新; 元智昊
362000 福建泉州， 联勤保障部队第910 医院麻醉科（刘金花、邓莎、许荔）、重症医学科（元智昊）；361000 福建福州， 福建医科大学附属第一医院麻醉科（朱慧新）
Author(s):
LIU Jinhua1;  DENG Sha1;  XU Li1;  ZHU Huixin3;  YUAN Zhihao2.
Department of Anesthesiology, the 910th Hospital of the Joint Support Force 1, Quanzhou 362000, China; Department of Critical Care Medicine, the 910th Hospital of the Joint Support Force 2, Quanzhou 36200, China; Department of Anesthesiology, the First Af
关键词:
超声引导; 神经阻滞; C5 神经根; 锁骨上神经; 围手术期
Keywords:
Ultrasound guidance;  Nerve block;  C5 nerve root;  Supraclavicular nerve;  Perioperative period
分类号:
-
DOI:
10.3969/j.issn. 1673-7083.2023.05.013
文献标识码:
-
摘要:
目的 探讨肩关节镜手术中采用超声引导下选择性臂丛神经阻滞对围手术期镇痛的有效性及安全性。方 法 选取2021 年1 月至2021 年12 月于联勤保障部队第910 医院行单侧肩关节镜手术患者共88 例，分为两组：选择 性阻滞组46 例，接受超声引导下选择性臂丛神经阻滞；传统阻滞组42 例，接受超声引导下肌间沟臂丛神经阻滞。结 果 选择性阻滞组患者神经阻滞起效时间明显低于传统阻滞组（P＜0.05）；选择性阻滞组患者的术后不同时间点疼 痛视觉模拟评分（VAS）均明显低于传统阻滞组（P＜0.05）；选择性阻滞组患者术后不同时间点屈肘、屈腕肌力均 明显优于传统阻滞组（P＜0.05）；选择性阻滞组患者术后膈肌麻痹程度明显低于传统阻滞组（P＜0.05）；选择性阻滞 组患者术后霍纳综合征的发生率明显低于传统阻滞组（P＜0.05），而主观满意率明显优于传统阻滞组（P＜0.05）。结 论 在肩关节镜手术中采用超声引导下选择性臂丛神经阻滞可起到更好的围手术期镇痛效果，患者满意度较高，术 后可早期开展康复训练。
Abstract:
Objective To explore the effectiveness and safety of an ultrasound-guided selective brachial plexus block in perioperative analgesia during shoulder arthroscopic surgery. Methods Eighty-eight patients who underwent unilateral shoulder arthroscopic surgery

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备注/Memo

备注/Memo:
基金项目： 2022 年福建省卫生健康科技计划项目（2022TG013）
通信作者： 元智昊 E-mail ： 154776260@qq.com
更新日期/Last Update: 2023-09-30