ENA抗体及体液免疫检验对系统性红斑狼疮的诊断及疗效评估意义 侯冰峰.docVIP

精品论文 参考文献 ENA抗体及体液免疫检验对系统性红斑狼疮的诊断及疗效评估意义 侯冰峰 湖南省蓝山县人民医院 湖南永州 425800 【摘 要】目的：研究B超引导下经肌间沟臂丛神经阻滞麻醉的效果。方法：选择来自我院2015年10月-2016年6月行经肌间沟臂丛神经阻滞麻醉患者80例。80例行经肌间沟臂丛神经阻滞麻醉患者随机分为盲探组和B超引导组。盲探组采取传统盲探式经肌间沟臂丛神经阻滞麻醉，B超引导组则采取B超引导经肌间沟臂丛神经阻滞麻醉。比较两组患者麻醉效果优良率；阻滞起效时间、完成麻醉时间、镇痛维持时间。结果：B超引导组相较于盲探组麻醉效果优良率更高，P＜0.05；B超引导组相较于盲探组阻滞起效时间更快，P＜0.05。两组完成麻醉时间、镇痛维持时间无显著差异，Pgt;0.05。结论：B超引导下经肌间沟臂丛神经阻滞麻醉的效果确切，可在直视下穿刺和操作，提高阻滞的准确率，可提高麻醉效果，值得推广。 【关键词】B超引导；臂丛神经阻滞麻醉；效果 Clinical application of the guidance of B ultrasound guided by the brachial plexus block anesthesia [Abstract] Objective：To study the effect of the guidance of B ultrasound on brachial plexus block anesthesia. Methods：80 cases of patients with cases of brachial plexus block anesthesia in our hospital from October 2015 to June 2016 were selected. 80 cases were randomly divided into two groups，the patients were divided into two groups：the blind group and the B ultrasound guided group. The blind group took the traditional blind by the brachial plexus block anesthesia，B ultrasound guided by B ultrasound guided by the muscle brachial plexus block anesthesia. Comparison of the two groups of patients with excellent anesthetic effect rate；block onset time，anesthesia time，duration of analgesia. Results：compared to the blind group，the effect of ultrasound guided group was higher than that of the blind group，P lt; 0.05；B ultrasound guided group was faster than the block onset time，P lt; 0.05. There was no significant difference between the two groups in the duration of anesthesia and the duration of analgesia，Pgt;0.05. Conclusion：the effect of the brachial plexus block under the guidance of B ultrasound is accurate. It can improve the accuracy of the block and improve the effect of anesthesia. It is worth popularizing. [Key words] B ultrasound guidance；brachial plexus block anesthesia；effect 臂丛神经阻滞麻醉是将局麻药物注射至臂丛神经干周围产生神经传导阻滞作用的一种麻醉方式。但传统臂丛神经阻滞麻醉采用传统盲探式穿刺，麻醉药物无法深入到理想位置，可影响麻醉效果[1]。本研究对B超引导下经肌间沟臂丛神经阻滞麻醉的效果进行分析