椎旁神经阻滞与肌间沟臂丛神经阻滞联合颈浅丛神经阻滞用于锁骨骨折手术麻醉的效果比较

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Abstract Objective To investigate the clinical effect of paravertebral nerve block (PCNB) and interscalene groove brachial plexus block (IGBPB) combined with superficial cervical plexus block (SCPB) in surgical anesthesia for clavicle fracture. Methods 76 patients with clavicle fractures underwent operation in the Second Hospital of Yulin City from October 2010 to October 2013 were selected. According to anesthesia plan, patients were divided into two groups, each group had 38 cases. Patients in the control group were treated with IGBPB+SCPB. Patients in the observation group were treated with PCNB+SCPB. Changes of heart rate and non-invasive blood pressure, nerve block condition, surgical anesthetic effect, complications were compared between the two groups. Results There were no significant differences in heart rate and non-invasive blood pressure at time of before anesthesia, skin incision, fracture restoration between the two groups (P > 0.05). There were no significant differences in nerve block improvement rates of C5, C6, T2 between the two groups (P > 0.05); nerve block improvement rate of C4 in the observation group was significantly lower than that in the control group (P < 0.05); nerve block improvement rates of C7, C8, T1 in the observation group were significantly higher than that in the control group (P < 0.05). Excellent rate of surgical anesthesia in the observation group was higher than that in the control group (P < 0.05). Incidence of complication in the observation group was significantly higher than that in the control group (P < 0.05). Conclusion PCNB+SCPB and IGBPB+SCPB are effective anesthesia methods in surgical anesthesia for clavicle fracture. Anesthesia effect of PCNB+SCPB is better, which has higher complete block rate in innervation area.

Key words： Paravertebral nerve block Superficial cervical plexus block Interscalene groove brachial plexus block Clavicle fracture Anesthesia

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	HE Feng BAI Jianyun▲ HUO Jianzhen LIU Hongfei

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HE Feng BAI Jianyun▲ HUO Jianzhen LIU Hongfei. Clinical comparison between paravertebral nerve block and interscalene groove brachial plexus block combined with superficial cervical plexus block in surgical anesthesia for clavicle fracture[J]. 中国医药导报, 2017, 14(25): 81-84.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I25/81

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