超声引导下锁骨上径路臂丛神经阻滞的分析

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1、超声弓f毒下锁骨上校路臂苁狰经陵滞的研究英文摘要Thestudyofultrasound—guidedsupraclaVicularbrachialplexusblockAbstractObjectiveInrecentyears，themethodsofnerveblockhavefundamentallyinnovatedwiththedevelopmentofultrasoundtechnology．Compared、撕tlltraditionalmethods，ultrasound-guidedsupraclavicula

2、rbrachialplexusblockalreadyhasitsuniqueclinicaladvantages．TheaimofthisstudyWastoresearchtherelationshipbetweenthesupraclavicularbrachialplexusandthetissuearounditunderthehigh．resolutionsonography,toofferrelevantanatomicalvariantstofurtheroptimizetheapplicationofultras

3、ound—guidedtechnique．Meanwhile，supraclavicularbrachialplexusblockwecomparedtheclinicaleffectsofguidedbyultrasound(single·injection，three*injection谢盘differentdose)弼像thatguidedbyanatomicallandmarks，inordertoprovidesomereferencesforclinicalapplicationofultrasound-guideds

4、upraclavicularbrachialplexusblock．MethodsPartone：30patientsscheduledforupperextremityoperationand170commonpatientswererecruited。Wegainedtheoptimumtransversalultrasoundimageofsupraclavicularbrachialplexus(SBP)andsubclavianartery(SA)throughaportableultrasoundsystemswith

5、alinear6～13MHztransducer．WemeasuredtheincludedanglebetweentheskinlineandtheSBP-to—SAcentreline，thedistanceofSBP—to-SA，thedistanceofskin—to—SA．skin—to—firstribandskin-to—SBPwi斑ultrasoundworkstation(v1．3)．Thepatientsscheduledforupperextremityoperationwereblockedunderult

6、rasoundguidance．Parttwo：150patientsscheduledforupperextremityoperationwererandomlydividedintofivegroups：GroupA(21mlsingle—injection)，GroupB(7mlthree—injection)，GroupC(6mlthree—injection)，GroupD(5mlthree-injection)，andGroupE(21mlinjectionbyanatomicallandmarks)，Amixture

7、oflocalanaesthetic(0．375％ropivacaineand1．0％lidocaine)wasinjectedineachgroup．Eachgroupwasblockedundercorrespondingdiverseways．neoperationtimeofblock，thedurationofanalgesiaandthecomplicationswererecorded，thetimeofpain蠢eprivationofaxillarynerve，medialbrachialcutaneousner

8、ve，medialantebrachialcutaneousnerve，lateralantebrachialcutaneousnerve，ulnarnerve，mediannerveandradialnerveweremeasured，andth