经神经刺激仪引导肌间沟臂丛神经阻滞的临床疗效

目的探讨在神经刺激仪引导下行肌间沟臂丛神经阻滞麻醉的临床疗效。方法选择2012年1月—2013年1月该院收治的拟行肌间沟臂丛神经阻滞的患者60例，分为实验组和对照组各30例，实验组采用神经刺激仪辅助定位，对照组采用传统异感定位，比较两组患者麻醉效果。结果实验组麻醉起效时间及阻滞操作时间均较对照组缩短；实验组麻醉成功率达93．3％，而对照组麻醉成功率71．1％，实验组麻醉效果明显优于对照组，实验组患者并发症发生率少于对照患者，差异均有统计学意义（P〈0．05）。结论在神经刺激仪引导下进行肌间沟臂丛神经阻滞，操作简单、定位准确率高、麻醉效果好、并发症少，值得临床推广应用。

Clinical efficacy of nerve stimulator guided interscalene brachial plexus block

Objective To investigate the clinical efficacy of guided interscalene brachial plexus block anesthesia of the nerve stimulator. Methods 60 cases of patients with intermusculargroove brachial plexus block during January 2012 to January 2013 in Funan Hospital of Traditional Chiese Medicine were divided into experimental group and control group with 30 cases in each group, the experimental group with nerve stimulator assisted positioning, the control group traditional paresthesia we compared anesthesia results between two groups of patients. Results The onset time of anesthesia and anesthesia operation time in expenimental group were shorter than those in the control group In experimental group anesthesia success rate was 93.3% ,compared with a success rate of 71.1% in control group. The anesthesia effect of experimental group was better than that of the control group, the incidence rate of complications of patients in the experimental group was lower than that in control patients, with statistically significant difference （ P 〈 0.05 ）. Conclusions Interscalene brachial plexus block guided by nerve stimulator is operational and accurate with good anesthesia effect and less complications ,which is worthy of clinical application.