fa مقایسه نتایج بلوک اینفراکلاویکولار با دو روش تحریک عصب و سونوگرافی به اضافه تحریک عصب عمومى General پژوهشي Original <p class="MsoNormal" style="text-align: justify line-height: normal margin: 0cm 0cm 0pt tab-stops: 157.3pt" dir="rtl"><strong><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">زمینه و هدف</span></strong><strong><span style="font-family: "B Zar" font-size: 14pt">:</span></strong><span style="font-family: "B Zar" font-size: 14pt">. </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">اخیرا</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">برخی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">محققین</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">استفاده</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">از</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">سونوگرافی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">را</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">برای</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بلوک</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">اعصاب</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">محیطی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">توصیه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">نموده</span><span style="font-family: "B Zar" font-size: 14pt">­</span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">اند</span><span style="font-family: "B Zar" font-size: 14pt">. </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">هدف</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">ما</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">از</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">مطالعه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">حاضر،</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">مقایسه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">نتایج</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">ICB</span></span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">با</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">استفاده</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">ترکیبی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">از</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">اولتراسونوگرافی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> تحریک عصب (</span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">neurostimulation</span></span><span style="font-family: "B Zar" font-size: 14pt">) </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> تحریک عصب </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">به</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">تنهایی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بوده</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">است</span><span style="font-family: "B Zar" font-size: 14pt">.</span></p> <p class="MsoNormal" style="text-align: justify line-height: normal margin: 0cm 0cm 0pt tab-stops: 157.3pt" dir="rtl"><strong><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">مواد</span></strong><strong><span style="font-family: "B Zar" font-size: 14pt"> </span></strong><strong><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span></strong><strong><span style="font-family: "B Zar" font-size: 14pt"> </span></strong><strong><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">روش</span></strong><strong><span style="font-family: "B Zar" font-size: 14pt">­</span></strong><strong><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">ها</span></strong><strong><span style="font-family: "B Zar" font-size: 14pt">:</span></strong><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">در</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">این</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">کارآزمایی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بالینی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">دو</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">سوکور،</span><span style="font-family: "B Zar" font-size: 14pt"> 60 </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بیمار</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">داوطلب</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">جراحی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">انتخابی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">اندام</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">فوقانی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">شرکت</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">داده</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">شدند</span><span style="font-family: "B Zar" font-size: 14pt">. </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بیماران</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">به</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">صورت</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">تصادفی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بر</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">اساس</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">تکنیک</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">انجام</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بلوک</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">به</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">دو</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">گروه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">اولتراسونوگرافی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> تحریک عصب (</span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">UN</span></span><span style="font-family: "B Zar" font-size: 14pt">) </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">گروه</span><span style="font-family: "B Zar" font-size: 14pt"> تحریک عصب (</span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">N</span></span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial"> ) تقسیم</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">شدند</span><span style="font-family: "B Zar" font-size: 14pt">. </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">در</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">نهایت</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">مدت</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">انجام</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">پروسیجر،</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">فاصله</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">تزریق</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">تا</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">تاثیر</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">دارو،</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">مدت</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بلوک</span><span style="font-family: "B Zar" font-size: 14pt">­</span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">های</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">حرکتی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">حسی،</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">میزان</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">موفقیت</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">عوارض</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بین</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">دو</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">گروه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">مقایسه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">شد</span><span style="font-family: "B Zar" font-size: 14pt">.</span></p> <p class="MsoNormal" style="text-align: justify line-height: normal margin: 0cm 0cm 0pt tab-stops: 157.3pt" dir="rtl"><strong><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">یافته</span></strong><strong><span style="font-family: "B Zar" font-size: 14pt"> </span></strong><strong><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">ها</span></strong><strong><span style="font-family: "B Zar" font-size: 14pt">:</span></strong><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">مدت</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">انجام</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">پروسیجر</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">فاصله</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">زمانی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بین</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">تزریق</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">تاثیر</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">دارو</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">در</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">دو</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">گروه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">یکسان</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بود</span><span style="font-family: "B Zar" font-size: 14pt">. </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">مدت</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بلوک</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">حسی</span><span style="font-family: "B Zar" font-size: 14pt"> (7/11</span><span style="font-family: "Times New Roman","serif" font-size: 14pt">±</span><span style="font-family: "B Zar" font-size: 14pt">8/66 </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">در</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">برابر</span><span style="font-family: "B Zar" font-size: 14pt"> 2/10</span><span style="font-family: "Times New Roman","serif" font-size: 14pt">±</span><span style="font-family: "B Zar" font-size: 14pt">9/60 </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">دقیقه؛</span><span style="font-family: "B Zar" font-size: 14pt"> 04/0=</span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">p</span></span><span style="font-family: "B Zar" font-size: 14pt">) </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">حرکتی</span><span style="font-family: "B Zar" font-size: 14pt"> (4/11</span><span style="font-family: "Times New Roman","serif" font-size: 14pt">±</span><span style="font-family: "B Zar" font-size: 14pt">57 </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">در</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">برابر</span><span style="font-family: "B Zar" font-size: 14pt"> 4/10</span><span style="font-family: "Times New Roman","serif" font-size: 14pt">±</span><span style="font-family: "B Zar" font-size: 14pt">8/50 </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">دقیقه؛</span><span style="font-family: "B Zar" font-size: 14pt"> 032/0=</span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">p</span></span><span style="font-family: "B Zar" font-size: 14pt">) </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">در</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">گروه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">UN</span></span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">به</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">طور</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">معنی­داری</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بیشتر</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">از</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">گروه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">N</span></span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بود</span><span style="font-family: "B Zar" font-size: 14pt">. </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بلوک</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">در</span><span style="font-family: "B Zar" font-size: 14pt"> 10 </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بیمار</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">در</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">گروه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">N</span></span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">در</span><span style="font-family: "B Zar" font-size: 14pt"> 2 </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بیمار</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">در</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">گروه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">UN</span></span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">با</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">شکست</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">مواجه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">شد</span><span style="font-family: "B Zar" font-size: 14pt"> (021/0=</span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">p</span></span><span style="font-family: "B Zar" font-size: 14pt">). </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">یک</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بیمار</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">در</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">گروه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">UN</span></span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> 3 </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بیمار</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">در</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">گروه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">N</span></span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">دچار</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">هماتوم</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">زیرپوستی</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">شدند</span><span style="font-family: "B Zar" font-size: 14pt">.</span></p> <p class="MsoNormal" style="text-align: justify line-height: normal margin: 0cm 0cm 0pt tab-stops: 157.3pt" dir="rtl"><strong><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">نتیجه</span></strong><strong><span style="font-family: "B Zar" font-size: 14pt"> </span></strong><strong><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">گیری</span></strong><strong><span style="font-family: "B Zar" font-size: 14pt">:</span></strong><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">ICB</span></span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">با</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">استفاده</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">از</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">اولتراسوند</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> تحریک عصب </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">یک</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">روش</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">ایمن</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">موثر</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">است</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">و</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">نسبت</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">به</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">انجام</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بلوک</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">با</span><span style="font-family: "B Zar" font-size: 14pt"> تحریک عصب </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">،</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">با</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">میزان</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">موفقیت</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">بالاتری</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">همراه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">است</span><span style="font-family: "B Zar" font-size: 14pt">. </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">محققین</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">استفاده</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">از</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">اولتراسوند</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">را</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">در</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: Calibri"><span style="font-size: 14pt mso-bidi-font-family: &aposB Zar&apos" dir="ltr">ICB</span></span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">توصیه</span><span style="font-family: "B Zar" font-size: 14pt"> </span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">می</span><span style="font-family: "B Zar" font-size: 14pt">­</span><span style="font-family: "B Zar" font-size: 14pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">کنند</span><span style="font-family: "B Zar" font-size: 14pt">.</span></p> <p class="MsoNormal" style="text-align: left line-height: 150% margin: 0cm 0cm 10pt tab-stops: 157.3pt" dir="rtl" align="right"><span style="font-family: Calibri"><strong><span style="line-height: 150% color: black font-size: 12pt mso-bidi-font-family: &aposB Zar&apos mso-themecolor: text1" dir="ltr">Background and aims:</span></strong><span style="line-height: 150% color: black font-size: 12pt mso-bidi-font-family: &aposB Zar&apos mso-themecolor: text1" dir="ltr"> Infraclavicular nerve block (ICNB) is one of the most efficacious peripheral nerve blocks for upper extremity procedures, associated with several potential complications. Recently, some authors have recommended ultrasound-guided peripheral nerve block for ICNB. The current study is aimed to compare the outcomes of ICNB utilizing combined ultrasound guidance and neurostimulation with the outcomes of ICNB using neurostimulation<span style="mso-spacerun: yes">   </span>alone.</span></span></p> <p class="MsoNormal" style="text-align: left line-height: 150% margin: 0cm 0cm 10pt tab-stops: 157.3pt" dir="rtl" align="right"><span style="font-family: Calibri"><strong><span style="line-height: 150% color: black font-size: 12pt mso-bidi-font-family: &aposB Zar&apos mso-themecolor: text1" dir="ltr">Materials and methods:</span></strong><span style="line-height: 150% color: black font-size: 12pt mso-bidi-font-family: &aposB Zar&apos mso-themecolor: text1" dir="ltr"> There were 60 patients, candidate for elective upper extremity surgery, who contributed in the current double-blinded randomized clinical trail. Patients were randomly divided into 2 groups based on the ICNB technique: combined ultrasound guidance and neurostimulation group (UN) and neurostimulation group (N). Finally, the procedure time, time interval between injection and drug effect, the rate of successful blocks, sensory and motor block duration, and complications were compared between the two groups.</span></span></p> <p class="MsoNormal" style="text-align: left margin: 0cm 0cm 10pt tab-stops: 157.3pt" dir="rtl" align="right"><span style="font-family: Calibri"><strong><span style="line-height: 115% color: black font-size: 12pt mso-bidi-font-family: &aposB Zar&apos mso-themecolor: text1" dir="ltr">Results: </span></strong><span style="line-height: 115% color: black font-size: 12pt mso-bidi-font-family: &aposB Zar&apos mso-themecolor: text1" dir="ltr">The mean procedure time and the time interval between injection and drug effect were the same. We found significantly longer sensory (66.8±11.7 V.s 60.9±10.2 min p=0.04) and motor (57±11.4 V.s 50.8±10.4 min p=0.032) block duration in UN group. ICNB failed in 10 patients in the N group and 2 patients in the UN group (p=0.021). There were one patient with subcutaneous hematoma in the UN group and 3 patients in the N group.</span></span></p> <p><strong><span style="line-height: 115% font-family: "Calibri","sans-serif" color: black font-size: 12pt mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-font-family: "B Zar" mso-bidi-language: FA mso-fareast-font-family: Calibri mso-fareast-theme-font: minor-latin mso-themecolor: text1 mso-ansi-language: EN-US mso-fareast-language: EN-US">Conclusion:</span></strong><span style="line-height: 115% font-family: "Calibri","sans-serif" color: black font-size: 12pt mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-font-family: "B Zar" mso-bidi-language: FA mso-fareast-font-family: Calibri mso-fareast-theme-font: minor-latin mso-themecolor: text1 mso-ansi-language: EN-US mso-fareast-language: EN-US"> ICNB utilizing ultrasound guidance combined with neurostimulation is a safe and efficacious technique with a higher success rate compared to neurostimulation alone. Authors strongly recommend using ultrasound in infraclavicular nerve block.</span></p> 29 0 http://jap.iums.ac.ir/browse.php?a_code=A-10-25-27&slc_lang=fa&sid=1 Sirous Momenzadeh1*, Shahram Sayadi2, Seyaedsadjad Razavi 3, Reza Tavakkoli Darestani4 سیروس مومن زاده*1، شهرام صیادی2، سیدسجاد رضوی3، رضا توکلی دارستانی4 100319475328460029 100319475328460029 No