| 摘要: |
| ［摘要］ 目的 评价三种横突入路臂丛阻滞对臂丛感觉和运动神经各分支的阻滞效果。方法 200例需行肩部、上肢手术患者，分别在颈5（C5，78例）,颈6（C6，70例）,颈7（C7，52例）横突入路下进行臂丛阻滞。评价阻滞后30 min各感觉和运动神经阻滞效果，并记录并发症情况。结果 三种横突入路对臂丛神经分支阻滞效果不同，C5入路对腋神经和C4神经阻滞率较C6、C7入路高（P<0.05），而C7入路对尺神经感觉和运动阻滞的完善程度较C6入路明显提高（P<0.05），均无严重并发症发生。结论 三种横突入路臂丛阻滞对臂丛感觉和运动神经各分支的阻滞效果不同。 |
| 关键词: 臂丛神经阻滞 横突 定位 上肢手术 |
| DOI：10.3969/j.issn.1674-3806.2011.12.06 |
| 分类号:R 614.4 |
| 基金项目:广西卫生厅科研课题（编号：桂卫Z2010252） |
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| Block effect of brachial plexus nerve block located by different transverse process on sensory and motor nerve branches |
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ZHU Wei-lin,HUANG Zhong-hua,LI Feng,et al.
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Department of Anesthesiology, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To evaluate the block effect of brachial plexus nerve block located by different transverse process on sensory and motor nerve branches.Methods Two hundred adult patients,ASA Ⅰ～Ⅱ,received a different brachial plexus block by C5,C6, C7 processus transverses approach according to different operative site.Sensory block grading and motor nerve branches block grading were evaluated, then complications were recorded.Results Axillary nerve and C4 nerve received a excellent block effect by C5 processus transverses approach than C6, C7（P<0.05）; ulnar nerve block effect were significantly improved by C7 processus transverses approach than C6（P<0.05）.Conclusion Brachial plexus block by different transverse process approach has different block effect on sensory and motor nerve branches. |
| Key words: Brachial plexus block Processus transverses Localization Upper extremity surgery |
