颈臂丛联合神经阻滞麻醉在锁骨骨折手术中的临床应用效果

目的探讨锁骨骨折手术中颈臂丛联合阻滞麻醉在临床应用效果。方法 2011年1月至2013年6月选取100例锁骨骨折患者,随机分为对照组和观察组,分别实施臂丛神经阻滞以及颈臂丛联合阻滞,观察2组阻滞效果及不良反应。结果观察组及对照组患者的优良率分别为100%、86%(P<0.05),实施颈臂丛联合阻滞麻醉效果明显高于臂丛阻滞麻醉。观察组出现了3例喉返神经阻滞,对照组出现了4例喉返神经阻滞,2组不良反应对比则差异无统计学意义(P>0.05)。结论颈臂丛联合神经阻滞用于锁骨骨折手术,临床阻滞效果优于颈丛神经阻滞,值得临床推广。

Carotid Brachial Plexus Nerve Block Anesthesia in the Clinical Application Effect of Operation of the Fracture of the Clavicle

ObjectiveTo explore the clinical effect of anesthesia in the operation of cervical brachial plexus block of clavicle fracture.MethodsFrom January 2011 to June 2013 year to select 100 cases of clavicle fracture patients, randomly divided into observation group and control group, respectively, the implementation of brachial plexus block and brachial plexus block, block effect and adverse reactions were observed in 2 groups.ResultsThe observation group and the control group with excellent and good rate were 100%, 86% （P〈0.05）, the implementation of carotid brachial plexus block anesthesia effect was signiifcantly higher than that of brachial plexus block anesthesia. The observation group had 3 cases of recurrent laryngeal nerve block, the control group had 4 cases of recurrent laryngeal nerve block, no statistically significant difference in 2 groups for comparison of adverse reaction （P〉0.05）. ConclusionCarotid brachial plexus nerve block for operation of clavicular fracture, clinical anesthesia effect is better than that of cervical plexus block, is worth the clinical promotion.