足拇外翻畸形矫正术的麻醉与术后镇痛

Anesthesia and Postoperative Analgesia for Correction of Hallux Valgus Deformity

目的探讨足拇外翻畸形矫正术的麻醉方法与术后镇痛效果.方法选取该院2017年5月—2019年5月收治的84例行足拇外翻畸形矫正术治疗患者,根据不同麻醉方法将其分成两组各42例,对照组行椎管内麻醉,观察组行神经阻滞麻醉,比较两组的手术麻醉效果、术后镇痛效果和不良反应发生情况.结果对照组麻醉优良率为(90.48%),观察组为(95.24%),组间数据对比差异无统计学意义(P>0.05);观察组术后2 h、术后8 h、术后12 h和术后24 h的疼痛评分明显低于对照组,差异有统计学意义(P<0.05);对照组不良反应发生率为(19.04%),观察组为(16.66%),组间数据对比差异无统计学意义(P>0.05).结论在足拇外翻畸形矫正术中应用神经阻滞麻醉效果优良,能够有效减轻患者术后疼痛感,安全性良好.

Objective To investigate the anesthetic method and analgesic effect of hallux valgus deformity correction.Methods 84 patients with hallux valgus deformity were selected and divided into two groups according to different anesthesia methods.The control group received intraspinal anesthesia and the observation group received nerve block anesthesia.The anesthetic effect,analgesic effect and adverse reactions of the two groups were compared.Results The excellent rate of anesthesia in the control group was 90.48%,and that in the observation group was 95.24%.There was no significant difference between the two groups,the difference was not statistically significant(P>0.05).The pain scores in the observation group at 2 hours,8 hours,12 hours and 24 hours after operation were significantly lower than those in the control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the control group was 19.04%,while that in the observation group was 16.67%.The data between the two groups were compared.There was no significant difference between the two groups,the difference was statistically significant(P>0.05).Conclusion The application of nerve block anesthesia in the correction of hallux valgus deformity has good effect,can effectively reduce the postoperative pain of patients,and has good safety.