超声导向的侧向与侧向对侧关节块的介质方法:一项前性随机研究
K Yazıcı1,2, I İnce3,4,5, A Dostbil1,6
1Department of Anesthesiology and Reanimation, Atatürk University Medical, Erzurum, Turkey.
Nigerian journal of clinical practice
|November 29, 2025
概括
对于 costoclavicular block 的中侧和侧侧方法,在上肢手术中提供了可比的麻醉疗效. 这两种方法都提供了类似的患者满意度和阻断动态,并没有明显的并发症差异.
科学领域:
- 区域麻醉地区麻醉
- 麻醉学 麻醉学
- 超声波指导的程序 超声波指导的程序
背景情况:
- 侧关节关节阻断的目标是位于内关节的臂.
- 这个阻塞可以使用中间或侧面的方法来执行.
研究的目的:
- 为了比较中间与侧侧侧关节关节阻塞方法的麻醉疗效和阻塞动力学.
- 评估外科医生和患者的满意度和并发症率.
主要方法:
- 在超声波指导下,接受上肢手术的88名患者被随机分配到中间 (n=44) 或侧面 (n=44) 的方法.
- 两组人都通过飞机内技术获得了20毫升局部麻醉剂.
- 评估了感觉/运动阻塞的开始,阻塞动态和并发症.
主要成果:
- 麻醉开始时间,手术持续时间和手术类型在各组之间相似.
- 介面方法显示了较大的针-多叶膜距离和较短的运动阻塞发作时间.
- 没有观察到并发症,额外止痛需要或患者/外科医生满意度的显著差异.
结论:
- 介面 costoclavicular 阻塞方法与区域麻醉的横向方法同样有效.
- 这两种方法都提供了可比的麻醉疗效和患者结果.
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