Application of ultrasound-guided selective cervical nerve root block for patients undergoing arthroscopic surgery in perioperative period
- VernacularTitle:超声引导下选择性颈神经根阻滞在肩关节镜术后镇痛中的应用
- Author:
Yudi ZHOU
1
;
Huili JIANG
;
Yang TANG
;
Yaomei CUI
;
Weiqian TIAN
Author Information
1. 210029,南京中医药大学附属医院麻醉科
- Keywords:
Cervical nerve root block;
Interscalene brachial plexus block;
Arthroscopic surgery;
Ultrasound-guided
- From:
The Journal of Clinical Anesthesiology
2017;33(12):1167-1170
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare effectiveness,performance,and complications between ultrasound-guided selective cervical nerve root block and interscalene brachial plexus block for patients undergoing arthroscopic surgery in perioperative period.Methods Seventy patients scheduled for arthroscopic surgery,25 males and 45 females,aged 18-75 years,were randomly divided into two groups.They were given either selective cervical nerve root block (group S,n =35) or interscalene brachial plexus block (group ISB,n=35).In group S,C5 and C6 nerve roots were given 0.5％ ropivacaine 5 ml respectively;In group ISB,patients were given 0.5％ ropivacaine 10 ml under ultrasound guidance.The primary outcome:VAS score and forearm modified Bromage scale (MBS) score were recorded at 4,12 and 24 hours after surgery;Secondary outcomes:cumulative tramadol consumption,the patients' satisfaction rate and adverse effects were recorded.Results The VAS scores in group S was significantly lower than that in group ISB at 12 hours after surgery (1.7±0.8 vs 3.6±0.7,P＜0.05).The forearm MBS scores in group S was significantly higher than that in group ISB 4 hours after surgery (P＜0.01).Compared with group ISB,the amount of tramadol consumption was lower at 24 hours after surgery [(37.5±35.9) mg vs (112.5±43.5) mg,P＜0.05)].The satisfaction rate of group S was higher than group ISB (88％ vs 56％,P＜0.05).There was no significant difference in side effects between the two groups.Conclusion In arthroscopic surgery,the selective cervical nerve root block is superior to the brachial plexus block.
