锁骨骨折手术中单纯使用颈深丛+浅丛神经阻滞方式的麻醉效果分析

周平，乔伟

（陕西省西乡县人民医院麻醉科，陕西 汉中，723500）

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摘要：

目的 探讨单纯使用颈深丛+浅丛神经阻滞方式在锁骨骨折手术中的麻醉效果。方法 选取2013 年1 月至2017 年5 月 于我院就诊的锁骨骨折患者共55 例，按照入院编号，随机分为观察组（27 例）与对照组（28 例）。对照组行臂丛神经阻滞，观 察组行颈深丛+浅丛神经阻滞。观察和比较两组患者的一般情况、麻醉效果及患者满意度。结果 两组患者手术时间和麻醉起 效时间比较，差异无统计学意义（P跃0.05）；观察组患者的麻醉优良率（92.59%）高于对照组患者（60.71%），且其辅助用药率（55.56%）低于对照组（85.71%）（P<0.05）；麻醉效果上，观察组患者显著优于对照组患者（P<0.05）；观察组患者术后满意度评 分显著高于对照组（P<0.05）。结论 单纯使用颈深丛+浅丛神经阻滞方式在锁骨骨折手术中的麻醉效果满意，且安全有效，值 得临床推广使用。

关键词：颈深丛；浅丛；神经阻滞方式；锁骨骨折手术

中图分类号：R614.2文献标志码：A文章编号：2096-1413(2018)05-0101-02

Analysis of the effect of deep cervical plexus and superficial plexus block in the operation of clavicle fracture
ZHOU Ping, QIAO Wei
(Anesthesiology Department, the People``s Hospital of Xixiang County, Hanzhong 723500, China)

ABSTRACT: Objective To explore anesthesia effect of deep cervical plexus and superficial plexus block in the operation of clavicular fracture. Methods A total of 55 patients with clavicular fractures in our hospital from January 2013 to May 2017 were selected, and randomly divided into observation group (27 cases) and control group (28 cases) according to the admission number. The control group was treated with brachial plexus block in the operation. The observation group was treated with deep cervical plexus and superficial nerve block in the operation. The general condition, anesthesia effect and patients`` satisfaction were observed and compared between the two groups. Results There was no significant difference between the two groups in the general procedure of operation time and anesthesia onset time (P>0.05). The excellent rate of anesthesia in the observation group (92.59% ) was higher than that of the control group (60.71% ), the adjuvant rate (55.56%) was lower than that of the control group (85.71%) (P<0.05). The anesthesia effect of the observation group was better than that of the control group (P<0.05). The satisfaction score of the patients in the observation group was significantly higher than that of the control group (P<0.05). Conclusion The anesthesia effect of deep cervical plexus and superficial plexus block in the operation of clavicle fracture is satisfactory, which is safe and effective, and worthy extending.

KEYWORDS: deep neck plexus; superficial plexus; nerve block method; clavicular fracture surgery

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