PDF(Pubmed)
Abstract：
UNASSIGNED: Clavicle fractures account for over one-third of shoulder injuries and up to 3.3% of all fractures in adults. While the majority of these fractures can be managed non-surgically, there are instances where surgical intervention is performed. Regional anesthesia (RA) can be a preferred alternative to general anesthesia (GA) to avoid complications and high costs in this surgery. Moreover, the identification of the most optimal approach for RA remains challenging.
UNASSIGNED: This study aimed to compare the efficacy of interscalene block (ISB) with and without superficial cervical plexus block (SCPB) as an anesthetic technique for clavicular fracture operation.
UNASSIGNED: This double-blinded, non-inferiority clinical trial was conducted on 120 patients randomly divided into 2 groups: One receiving ISB and the other receiving ISB with SCPB. The primary outcome was defined as the conversion to GA. Various factors were recorded, including surgery duration, nerve block initiation, analgesics required in the postanesthesia care unit (PACU), and sedation during surgery. Pain was evaluated using the Visual Analog Scale (VAS) in PACU. SPSS version 26 was used for statistical analysis, performing descriptive analysis, Student\'s t-tests, and Mann-Whitney U tests to compare non-parametric variables between the 2 groups. Statistically significant results had a P value of less than 0.05.
UNASSIGNED: A total of 120 patients were randomly divided into 2 equal groups, each consisting of 50 males and 10 females. The mean age of intervention and case groups were 37.23 ± 13.30 and 38.43 ± 11.95 years, respectively. After performing statistical tests (Student\'s t-test and Mann-Whitney U test), there was no significant difference in the initiation time of nerve block, surgery initiation time, surgery duration, the amount of required sedation, VAS scores, and meperidine consumption (P > 0.05). None of the patients in both groups required conversion to GA.
UNASSIGNED: The primary goal was achieved in all included cases, and no patients required conversion to GA. The efficacy of ISB is the same whether or not it is combined with a SCPB. Interscalene block is an alternative RA approach for clavicle fractures. Thus, ISB alone is as efficient as when used in combination with SCPB.
UNASSIGNED: This study aimed to compare the efficacy of interscalene block (ISB) with and without superficial cervical plexus block (SCPB) as an anesthetic technique for clavicular fracture operation.
UNASSIGNED: This double-blinded, non-inferiority clinical trial was conducted on 120 patients randomly divided into 2 groups: One receiving ISB and the other receiving ISB with SCPB. The primary outcome was defined as the conversion to GA. Various factors were recorded, including surgery duration, nerve block initiation, analgesics required in the postanesthesia care unit (PACU), and sedation during surgery. Pain was evaluated using the Visual Analog Scale (VAS) in PACU. SPSS version 26 was used for statistical analysis, performing descriptive analysis, Student\'s t-tests, and Mann-Whitney U tests to compare non-parametric variables between the 2 groups. Statistically significant results had a P value of less than 0.05.
UNASSIGNED: A total of 120 patients were randomly divided into 2 equal groups, each consisting of 50 males and 10 females. The mean age of intervention and case groups were 37.23 ± 13.30 and 38.43 ± 11.95 years, respectively. After performing statistical tests (Student\'s t-test and Mann-Whitney U test), there was no significant difference in the initiation time of nerve block, surgery initiation time, surgery duration, the amount of required sedation, VAS scores, and meperidine consumption (P > 0.05). None of the patients in both groups required conversion to GA.
UNASSIGNED: The primary goal was achieved in all included cases, and no patients required conversion to GA. The efficacy of ISB is the same whether or not it is combined with a SCPB. Interscalene block is an alternative RA approach for clavicle fractures. Thus, ISB alone is as efficient as when used in combination with SCPB.
摘要：
■锁骨骨折占成人肩关节损伤的三分之一以上，占所有骨折的3.3%。虽然这些骨折中的大多数可以非手术治疗，在某些情况下进行手术干预。区域麻醉（RA）可以作为全身麻醉（GA）的首选替代方案，以避免该手术中的并发症和高成本。此外，确定RA的最佳治疗方法仍然具有挑战性。
■本研究旨在比较有和没有浅颈丛阻滞（SCPB）的肌间沟阻滞（ISB）作为锁骨骨折手术的麻醉技术的疗效。
■这种双盲，对120例患者进行了非劣效性临床试验，随机分为两组：一组接受ISB，另一组接受ISB和SCPB。主要结果定义为转换为GA。记录了各种因素，包括手术时间,神经阻滞启动,麻醉后监护病房（PACU）所需的镇痛药，手术期间的镇静。在PACU中使用视觉模拟量表(VAS)评估疼痛。使用SPSS26版进行统计分析，进行描述性分析，学生的t检验，和Mann-WhitneyU检验比较两组之间的非参数变量。具有统计学意义的结果具有小于0.05的P值。
■共120例患者随机分为2组,每个由50名男性和10名女性组成。干预组和病例组的平均年龄分别为37.23±13.30岁和38.43±11.95岁,分别。在进行统计检验(学生t检验和曼-惠特尼U检验)后，神经阻滞的起始时间没有显着差异，手术开始时间,手术持续时间,所需的镇静剂量，VAS评分,和哌替啶消耗量(P>0.05)。两组患者均不需要转换为GA。
■在所有包含的案例中都实现了主要目标，没有患者需要转换为GA。无论是否与SCPB组合,ISB的功效都是相同的。肌间沟阻滞是治疗锁骨骨折的另一种方法。因此，单独的ISB与当与SCPB组合使用时一样有效。
■本研究旨在比较有和没有浅颈丛阻滞（SCPB）的肌间沟阻滞（ISB）作为锁骨骨折手术的麻醉技术的疗效。
■这种双盲，对120例患者进行了非劣效性临床试验，随机分为两组：一组接受ISB，另一组接受ISB和SCPB。主要结果定义为转换为GA。记录了各种因素，包括手术时间,神经阻滞启动,麻醉后监护病房（PACU）所需的镇痛药，手术期间的镇静。在PACU中使用视觉模拟量表(VAS)评估疼痛。使用SPSS26版进行统计分析，进行描述性分析，学生的t检验，和Mann-WhitneyU检验比较两组之间的非参数变量。具有统计学意义的结果具有小于0.05的P值。
■共120例患者随机分为2组,每个由50名男性和10名女性组成。干预组和病例组的平均年龄分别为37.23±13.30岁和38.43±11.95岁,分别。在进行统计检验(学生t检验和曼-惠特尼U检验)后，神经阻滞的起始时间没有显着差异，手术开始时间,手术持续时间,所需的镇静剂量，VAS评分,和哌替啶消耗量(P>0.05)。两组患者均不需要转换为GA。
■在所有包含的案例中都实现了主要目标，没有患者需要转换为GA。无论是否与SCPB组合,ISB的功效都是相同的。肌间沟阻滞是治疗锁骨骨折的另一种方法。因此，单独的ISB与当与SCPB组合使用时一样有效。
