B超引导下闭孔神经阻滞预防老年患者术中闭孔神经反射、膀胱穿孔应激反射效果观察

Effect of Closed Nerve Block Under Ultrasound to Prevent Postoperative Reflex in Elderly Patients

目的观察B超引导下闭孔神经阻滞预防老年患者术中闭孔神经反射、膀胱穿孔应激反射效果。方法选取广东省东莞市凤岗医院2020年1月-2021年5月收治的56例老年膀胱疾病手术患者为研究对象,按照患者麻醉方式不同,将28例实施B超引导下超声下闭孔神经阻滞的患者作为实验组,其余28例实施常规麻醉的患者作为对照组,观察两组患者闭孔反射、膀胱穿孔、术后恢复情况以及麻醉前后VAS视觉疼痛评分情况。结果两组患者闭孔反射、膀胱穿孔比较差异有统计学意义(P<0.05);实验组发生率显著低于对照组,且两组患者术后情况对比差异有统计学(P<0.05);实验组在感觉恢复时间、运动恢复时间以及下床活动时间对比上都要短于对照组,同时两组患者麻醉前后VAS视觉疼痛评分对比差异有所不同,其中,麻醉前对比差异无统计学意义(P>0.05),麻醉后对比差异有统计学意义(P<0.05),实验组评分显著低于对照组。结论对于老年患者手术而言,开展B超引导下鼻孔神经阻滞麻醉的效果要明显好于常规麻醉,患者术中闭孔神经反射、膀胱穿孔应激反射指标比较结果差异显著,故而可将该法应用到临床。

Objective To observe the effect of closed hole nerve reflex and bladder perforation stress reflex in elderly patients.Methods 56 elderly patients with bladder surgery from January 2020 to May 2021 were selected.28 patients with the other 28 patients were observed as closed hole reflex,bladder perforation,postoperative recovery and VAS visual pain score before and after anesthesia.Results The closed hole reflex and bladder perforation(P<0.05),significantly lower in the control group(P<0.05),shorter in sensory recovery,motor recovery,and off-bed activity between the two groups,(P>0.05)and significantly lower(P<0.05).Conclusion For elderly patients,the effect of nostrils nerve block anesthesia under B ultrasound guidance is significantly better than routine anesthesia.The comparison results of intraoperative closed hole nerve reflex and bladder perforation stress reflex indexes differ significantly,so the method can be applied to clinical practice.