Tetzlaff J E, Yoon H J, Brems J
Department of General Anesthesia, Cleveland Clinic Foundation, Ohio 44195.
Reg Anesth. 1993 Jan-Feb;18(1):30-3.
Regional anesthesia can be applied to shoulder surgery with an expected high success rate. To determine the level of patient satisfaction with regional anesthesia, we studied a group of patients who had undergone shoulder surgery more than once, with general anesthesia on one occasion and regional on another.
Twenty-five consecutive patients with prior shoulder surgery under general anesthesia (GA) willing to receive interscalene brachial plexus anesthesia (ISB) were identified. On postoperative day one, a questionnaire was administered. Data were evaluated with McNemar's test and chi-square analysis and considered significant at p < 0.05.
There were no differences in sedation or patient preparation between GA and ISB. ISB was tolerable during placement, and no patients complained of being aware or inadequately sedated. With ISB, there was better recovery room pain control, less nausea, and less vomiting. Overall, the patients preferred ISB.
Interscalene brachial plexus block is well accepted by patients for reconstructive shoulder surgery.
区域麻醉可应用于肩部手术，预期成功率较高。为确定患者对区域麻醉的满意度，我们研究了一组曾多次接受肩部手术的患者，其中一次采用全身麻醉，另一次采用区域麻醉。
确定了25例曾接受过全身麻醉（GA）下肩部手术且愿意接受肌间沟臂丛神经麻醉（ISB）的连续患者。术后第一天，发放问卷。数据采用McNemar检验和卡方分析进行评估，p<0.05被认为具有统计学意义。
GA和ISB在镇静或患者准备方面无差异。ISB在置管过程中是可耐受的，没有患者抱怨术中知晓或镇静不足。采用ISB时，恢复室疼痛控制更好，恶心和呕吐更少。总体而言，患者更喜欢ISB。
肌间沟臂丛神经阻滞在重建肩部手术中很受患者欢迎。
