关键词: 麻醉, 臂丛, 锁骨, 神经肌肉阻滞, 臂丛损伤

Abstract:

Objective　To investigate the feasibility of subclavicular brachial plexus block with localized puncture at the apex of the axilla on treating of traumatic brachial plexus damage.　Methods　60 patients were randomly divided into group A (subclavicular brachial plexus block with localized puncture at the apex of the axilla), group B (tracheal intubation anesthesia), and group C (subclavicular brachial plexus block with localized puncture at the apex of the axilla together with tracheal intubation anesthesia). Patient-controlled intravenous analgesia (PCIA) was used to evaluate the degree of analgesia by visual analog scale (VAS) after operation, as well the cost of anesthesia technique, material and medicines except common project was evaluated. 　Results　There were no statistically difference among the three groups in generic index (P>0.05). The every hour dosage of propofol and remifentamil of group B were higher than group C (P<0.01). The postoperative awakening time and orientation time of group B were longer than group C (P<0.01). There were no significant difference between two groups for preparing time, and performing time (group A< group B< group C). The duration of anesthesia of group A and C were significantly longer than group B (P<0.01). There were significantly difference in VAS score at 5 time points after operation, the total dosage of Lornocines for 24 hour, anesthesia technique, material and the total cost of drugs among 3 groups (A

Key words: Anesthesia, Brachial plexus, Clavicle, neuromucular block, Branchial plexus injury