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首页> 外文期刊>International Journal of Research in Medical Sciences >A comparison of two approaches to brachial plexus anaesthesia
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A comparison of two approaches to brachial plexus anaesthesia

机译：臂丛神经麻醉的两种方法的比较

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Background: A prospective, double blind study was performed to compare the clinical effect of vertical infraclavicular and supraclavicular brachial plexus block using a nerve stimulation technique for upper limb surgery. Methods: Eighty patients undergoing upper limb surgery under infraclavicular or supraclavicular brachial plexus block were enrolled into this study. The infraclavicular brachial plexus block was performed using the vertical technique (group I; N=40). The supraclavicular brachial plexus block was performed using the Kulenkampf technique (group S; N=40). In both the groups 30 ml of 0.5% ropivacaine was used as the local anaesthetic. The block performance time, the duration of onset of sensory and motor block was evaluated in both the groups S & I. The quality of the block & associated complications were also assessed. Results: A significant difference in the block performance time with comparable duration of onset of sensory was noted between the two groups S & I. Greater incidence of Horner's syndrome was noted in group S. Conclusions: Supraclavicular brachial plexus block may be easier to perform than infraclavicular brachial plexus block. The infraclavicular approach may be preferred to the supraclavicular approach when considering the complications.
机译：背景：一项前瞻性，双盲研究使用神经刺激技术进行上肢手术，比较了垂直锁骨下和锁骨上臂丛神经阻滞的临床效果。方法：80例接受锁骨下或锁骨上臂丛神经阻滞手术的上肢手术患者。锁骨下臂丛神经阻滞采用垂直技术进行（I组; N = 40）。锁骨上臂丛神经阻滞采用Kulenkampf技术进行（S组; N = 40）。两组均使用30 ml 0.5％罗哌卡因作为局部麻醉剂。在S和I组中均评估了阻滞执行时间，感觉障碍和运动阻滞发作的持续时间。还评估了阻滞的质量和相关并发症。结果：两组之间在阻滞执行时间和感觉发作持续时间上存在显着差异。在S组中，霍纳综合征的发生率更高。结论：锁骨上臂丛神经阻滞比锁骨下臂丛神经阻滞。考虑到并发症，锁骨下入路可能优于锁骨上入路。

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