超声引导下胸神经阻滞技术应用于肩胛骨骨折手术的镇痛效果观察

R614.4; 目的:探讨超声引导下胸神经阻滞技术对肩胛骨骨折手术患者的镇痛效果.方法:选取我院2018年1月至2019年11月间行肩胛骨骨折择期手术140例患者进行回顾性分析,共分为3组:气管插管全麻32例(G组),全麻联合臂丛阻滞55例(B组),全麻联合臂丛+胸神经阻滞53例(S组).其中S组分为3个亚组:胸椎旁阻滞19例(S1组),竖脊肌阻滞16例(S2组),椎板阻滞18例(S3组).分析术中舒芬太尼追加剂量、苏醒室内的视觉模拟评分法(visual analogue scale,VAS)疼痛评分和追加镇痛药物需求率.结果:在术中追加舒芬太尼用量、苏醒室中VAS评分和追加镇痛需求率方面,S...

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Published in中国临床医学 Vol. 27; no. 2; pp. 278 - 281
Main Authors 陈勇柱, 姚军, 周申元, 谢振玮, 张俊峰, 王晓峰
Format Journal Article
LanguageChinese
Published 上海交通大学附属第六人民医院麻醉科 ,上海,200233 01.04.2020
Subjects
竖脊肌平面阻滞
超声
椎板阻滞
胸神经阻滞
胸椎旁间隙阻滞
肩胛骨骨折
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ISSN1008-6358
DOI10.12025/j.issn.1008-6358.2020.20192344

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Abstract R614.4; 目的:探讨超声引导下胸神经阻滞技术对肩胛骨骨折手术患者的镇痛效果.方法:选取我院2018年1月至2019年11月间行肩胛骨骨折择期手术140例患者进行回顾性分析,共分为3组:气管插管全麻32例(G组),全麻联合臂丛阻滞55例(B组),全麻联合臂丛+胸神经阻滞53例(S组).其中S组分为3个亚组:胸椎旁阻滞19例(S1组),竖脊肌阻滞16例(S2组),椎板阻滞18例(S3组).分析术中舒芬太尼追加剂量、苏醒室内的视觉模拟评分法(visual analogue scale,VAS)疼痛评分和追加镇痛药物需求率.结果:在术中追加舒芬太尼用量、苏醒室中VAS评分和追加镇痛需求率方面,S组最低,B组和S组显著低于G组,差异具有统计学意义(P<0.05).3个S亚组之间,差异无统计学意义.结论:肩胛骨骨折手术中,胸神经阻滞可以在全麻联合臂丛阻滞的基础上,进一步增强镇痛效果,3种胸神经阻滞技术镇痛效果相似.
AbstractList R614.4; 目的:探讨超声引导下胸神经阻滞技术对肩胛骨骨折手术患者的镇痛效果.方法:选取我院2018年1月至2019年11月间行肩胛骨骨折择期手术140例患者进行回顾性分析,共分为3组:气管插管全麻32例(G组),全麻联合臂丛阻滞55例(B组),全麻联合臂丛+胸神经阻滞53例(S组).其中S组分为3个亚组:胸椎旁阻滞19例(S1组),竖脊肌阻滞16例(S2组),椎板阻滞18例(S3组).分析术中舒芬太尼追加剂量、苏醒室内的视觉模拟评分法(visual analogue scale,VAS)疼痛评分和追加镇痛药物需求率.结果:在术中追加舒芬太尼用量、苏醒室中VAS评分和追加镇痛需求率方面,S组最低,B组和S组显著低于G组,差异具有统计学意义(P<0.05).3个S亚组之间,差异无统计学意义.结论:肩胛骨骨折手术中,胸神经阻滞可以在全麻联合臂丛阻滞的基础上,进一步增强镇痛效果,3种胸神经阻滞技术镇痛效果相似.
Author 张俊峰
姚军
周申元
谢振玮
陈勇柱
王晓峰
AuthorAffiliation 上海交通大学附属第六人民医院麻醉科 ,上海,200233
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ZHANG Jun-feng
WANG Xiao-feng
YAO Jun
ZHOU Shen-yuan
CHEN Yong-zhu
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Keywords 竖脊肌平面阻滞
超声
椎板阻滞
胸神经阻滞
胸椎旁间隙阻滞
肩胛骨骨折
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PublicationTitle 中国临床医学
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Snippet R614.4; 目的:探讨超声引导下胸神经阻滞技术对肩胛骨骨折手术患者的镇痛效果.方法:选取我院2018年1月至2019年11月间行肩胛骨骨折择期手术140例患者进行回顾性分析,共分为3...
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Title 超声引导下胸神经阻滞技术应用于肩胛骨骨折手术的镇痛效果观察
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