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- W3032066472 abstract "目的 比较在外周神经刺激器(PNS)引导下,常规定位方法和神经干定位方法,应用于肌间沟臂丛神经阻滞对尺侧神经阻滞成功率的影响.方法 选择实施臂丛神经阻滞的上肢手术患者100例,随机平均分为两组.在PNS引导下,Ⅰ组患者只要刺激到神经,引发肌肉收缩,即给予阻滞.Ⅱ组患者在刺激到臂丛神经上、中、下干,并引出提肩、前臂外展、前臂内收等动作分别给予阻滞.两组局麻药均使用0.5%罗哌卡因20 ml.结果 Ⅰ、Ⅱ组对尺神经及前臂内侧皮神经阻滞有效率分别为82%(41例)、80%(40例)和98%(49例)、98%(49例),Ⅱ组显著高于Ⅰ组(P＜0.05).结论 PNS引导下的肌间沟臂丛神经干定位方法比常规定位方法更精确,使局麻药液在肌间沟臂丛神经鞘内分布更趋于合理,可提高对尺侧神经阻滞的有效率。" @default.
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- W3032066472 date "2007-03-25" @default.
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- W3032066472 title "Clinical study on interscalene brachial plexus block by peripheral nerve stimulator" @default.
- W3032066472 doi "https://doi.org/10.3760/cma.j.issn.1673-4904.2007.09.008" @default.
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