Study on the effectiveness of ultrasound-guided nerve block anesthesia in the treatment of clavicle fractures
超声引导下神经阻滞麻醉在锁骨骨折治疗中的有效性研究

摘要

目的 研究超声引导下神经阻滞麻醉在锁骨骨折治疗中的有效性。方法 观察对象为76例锁骨骨折患者，收治时间2024年12月至2025年11月，随机分组，采用超声引导下神经阻滞麻醉的患者纳入W组（n=38），采用传统的常规麻醉的患者纳入E组（n=38），研究比较W组与E组患者的身体指标、麻醉效果、镇静程度、不良反应发生率。结果 W组患者在动脉血氧饱和度、平均动脉压及心率方面均优于E组患者，有统计学意义（P<0.05）。W组完全苏醒时间远短于E组，躁动评分、疼痛评分远低于E组，有统计学意义(P<0.05)。W组患者的心率失常、呼吸抑制、低氧合发生率均显著低于E组，有统计学意义（P<0.05）。结论 超声引导下神经阻滞麻醉在锁骨骨折治疗中的有效性更高，值得广泛利用。

Abstract

Objective To investigate the effectiveness of ultrasound-guided nerve block anesthesia in the treatment of clavicle fractures.
Methods The observation subjects were 76 patients with clavicle fractures, admitted from December 2024 to November 2025, randomly divided into two groups. Patients who received ultrasound-guided nerve block anesthesia were included in Group W (n=38), and patients who received traditional conventional anesthesia were included in Group E (n=38). The study compared the physical indicators, anesthesia effect, sedation level, and incidence of adverse reactions between Group W and Group E.
Results Patients in Group W exhibited significantly better arterial oxygen saturation, mean arterial pressure, and heart rate compared to those in Group E (P<0.05). The time to full recovery in Group W was markedly shorter than in Group E, with significantly lower agitation scores and pain scores (P<0.05). Additionally, the incidence of arrhythmia, respiratory depression, and hypoxia in Group W was significantly lower than in Group E (P<0.05).
Conclusion   Ultrasound guided nerve block anesthesia is more effective in the treatment of clavicle fractures and is worthy of widespread use.