|
|
The Coracoid Method of Suprascapular Nerve Puncture Positioning |
ZHU YongJin, LI Ya |
The People's Hospital of Dujiangyan, Sichuan Dujiangyan 611830, China |
|
|
Abstract Objective: To investigate the suprascapular nerve block using the traditional method and the coracoid method of suprascapular nerve block quality, to find a more simple method more accurately, improve the curative effect of suprascapular nerve block. Methods: using piecewise randomization, two groups of 43 patients respectively, using the traditional puncture and coracoid method of suprascapular nerve block, confirmed by perspective of C arm, and injection of 0.5% ropivacaine hydrochloride compound analgesic liquid after patients have obvious radiation to the shoulder and scapular region paresthesia, pain disappeared after 10 minutes or significantly reduced, that the success of the block. Results: the success rate of 74.4% using the traditional method, the coracoid method success rate was 97.7%, there were significant differences between the groups (P<0.05). Conclusion: the traditional method of block success rate is low, because the method does not consider the physical differences, while the proportion of scapula and coracoid process is relatively fixed, so the coracoid method of suprascapular nerve block is a simple and accurate method is obviously superior to the traditional method.
|
|
Fund:四川省自然科学基金资助项目,(编号:BK2014232) |
|
|
|
[1] 黄德清,刘晓平,等.肩胛上神经的定位解剖[J].颈腰痛杂志,1997,18(4):283~284. [2] 曹天彪,胡志明,张晓勇,等.肩胛上神经联合喙突下臂丛神经阻滞治疗肩周炎的临床应用[J].实用疼痛学杂志,2009,5(3):197~200. [3] 王润妹,宋成宪,李舜.上肢PNF技术用于治疗肩周炎的疗效观察[J].河北医学,2012,18(3):352~355. [4] 李仲廉,郑宝森,等.神经阻滞学-100种神经阻滞术图解[M].郑州大学出版社,2001.157~160. [5] 张少云,罗启年.丙泊酚复合肩胛上神经阻滞配合手法松解治疗肩周炎的临床观察[J].临床和实验医学杂志,2007,6(3):29~31. [6] 谭冠先,傅志俭,等.疼痛诊疗学[M].第2版.人民卫生出版社,2005.56. [7] 熊远洪.喙突下肩胛上神经阻滞治疗肩部疼痛的探讨[J].实用疼痛学杂志,2011,7(3):225 |
|
|
|