目的 探讨两种不同的神经阻滞麻醉在锁骨骨折内固定术中的麻醉效果.方法 将52例行锁骨骨折内固定术的患者随机分为两组,每组26例.A组颈丛深浅支联合神经阻滞,B组单纯肌间沟臂丛神经阻滞.观察两组患者在麻醉前、切皮及骨折复位时的心电图(ECG)、非侵入性血压(NIBP)、心率(HR)、血氧饱和度(SpO2)和麻醉效果.结果 两组患者3个时间点的NIBP、HR比较,差异均有显著性(P＜ 0.05); A组的麻醉效果明显好于B组.结论 颈丛深浅支联合神经阻滞是锁骨骨折内固定术中较好、可行的一种麻醉方法.%Objective To investigate the effect of the two different nerve block anesthesia on clavicle fracture fixation.Methods 52 cases of clavicular fracture fixation were randomly divided into two groups (n =26):cervical plexus nerve block group (group A),Brachial plexus block group (group B).Non-invasive blood pressure (NIBP),heart rate (HR),oxygen saturation (SpO2) and electrocardiogram (ECG) were observed before anesthesia,incision,and fractures.We analyzed the anesthetic effect in different points time.Results ①Compared with the group B,three time points NIBP and HR of group A were statistically significant(P ＜ 0.05),but there was no significant difference in the SpO2 between group A and group B (P＞ 0.05).②Compared with the group B,the anesthetic effect was statistically significant in group A(P ＜ 0.05).Conclusion The depth and superficial cervical plexus nerve block is a better and feasible anesthetic method in clavicle fracture fixation.
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