摘要
目的:探讨超声下股神经-股外侧皮神经联合阻滞麻醉在髌骨骨折手术中的应用价值。方法:分析80例髌骨骨折患者的临床资料,按照麻醉方式分成实验组(超声下股外侧皮神经+股神经阻滞麻醉)和对照组(蛛网膜下腔麻醉),每组40例。比较两组患者麻醉前后的收缩压(SBP)、舒张压(DBP)及心率(HR)、运动与感觉阻滞情况及术后不良反应发生率。结果:麻醉后5、10、15、30 min实验组患者的SBP及DBP水平明显高于对照组(P<0.05)。实验组患者运动阻滞持续时间明显低于对照组,感觉阻滞持续时间明显高于对照组(均P<0.05)。实验组不良反应发生率(2.5%)明显低于对照组(42.5%)(P<0.01)。结论:超声下股神经-股外侧皮神经联合阻滞麻醉在髌骨骨折手术中临床疗效突出,安全性良好,对患者术后镇痛及早期功能训练比较有利。
Objective: To analyze the application value of nerve-shares of the lateral cutaneous nerve block anesthesia under ultrasound guidance in patellar fracture operation.Methods: Clinical data of 80 patients with patellar fracture was retrospectively analyzed.Patients included were divided into two groups,experimental group(nerve-shares of the lateral cutaneous nerve block anesthesia under ultrasound guidance) and control group(lumbar anesthesia under ultrasound guidance),40 cases in each group.The levels of SBP,DBP,HR before and after anesthesia,motor and sensory blockade and the adverse occurrence rates between two groups were compared.Results: The levels of SBP and DBP at 5 min,10 min,15 min,30 min after anesthesia in experimental group were obviously higher than those in control group(P < 0.05).The motion block duration in experimental group was obviously lower than that in control group,and the duration of sensory blockade in experimental group was obviously higher than that in control group(P < 0.05).The adverse occurrence rate in experimental group(2.5%) was obviously lower than that in control group(42.5%)(P < 0.01).Conclusion: The clinical efficacy of lateral cutaneous nerve block anesthesia under ultrasound guidance in patellar fracture operation is obvious,and the safety is better,which is helpful for the postoperative analgesia and early functional training.
出处
《川北医学院学报》
CAS
2017年第6期890-892,共3页
Journal of North Sichuan Medical College
关键词
髌骨骨折
超声引导
股神经阻滞麻醉
股外侧皮神经阻滞
Patellar fracture
Ultrasound guidance
Femoral nerve block anesthesia
Shares of the lateral cutaneous nerve block