超声引导下臂丛神经阻滞对上肢骨折患者围手术期血流动力学及应激反应的影响

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Abstract：ObjectiveToexploretheimpactofultrasoudguidedbrachialplexusblockonperioperativehmodynamicsandtressesposesin patientswithupperlimbfractures.MethodsTherandomumbertablemethodwasemployedtodivide64upprlibfracturepatientstreatedat Yiyang County People？s Hospital between June 2O21 and October 2O24 into a study group（ n= 32） and a control group （n=32）.Both groupswere treatedwithuprlibckigplateintealfiatioTheotrolgouastreatedithoetioalitesaleeacalpleusblodte studgoupasratedisodddealcalusocsicsdestsetoi ofsorye （MAP），bodgeuratio（O）t，spoeveepeiol（dlicat pneuothoraxataacureistakelteodeleoadteoossultsestst the study group wasbetter than that of the control group（ P< 0.05）.Compared with the control group，the study group had shorter anesthesia operation time，osetifooseoteiloai） with T0， the levels of MAP，SpO 12 and HR in the study group at T1， T2 and T3 fluctuated，but the diffrence were not statistically significant（ P> 0.05）. Compared with Γ0， the levels of MAP， SpO2 and HR in the control group were lower at T1， T2 and T3 ？ P<0.05） .Compared with the control group，the levels of MAP and SpO 2 of the study group at Tl，T and T3 were higher，and the HR level was lower（ P<0.05） .AtT1， T2 and T3，the stress response levels of the two groups were higher than those at TO（ P< 0.05）.AtT1，T2and T3，thestressresponselevelof the studygroup was lower thanthat of the control group（ P<0.05 .Asignificantlylowerincidenceofcomplicationswasobserved inthestudygroupthanthatinthecontrolgroup（P<0.05）. ConclusinUtrasoduddrachalplexusblocasdfiiteapcatiotinpatintswihupperbfractureTsseot onsetieoisaeeioi of patients，reduce stress response，and has high safety.It can be promoted in clinical application.

KeyWords：Ultrasound-guided; Brachial plexus block; Upper limb fractures;Hemodynamics; Stressresponse

上肢骨折是临床常见骨折类型，以肱骨骨折最为常见，占全身骨折的 4%～9% 。（剩余7369字）