超声引导下腰丛、坐骨神经阻滞在老年下肢骨科手术中的效果

The Effect of Ultrasound Guided Low Plexus and Sciatic nerve Block in Lower Extremity Orthopedic Surgery in the Elderly

目的观察超声引导下腰丛、坐骨神经神经阻滞在老年下肢骨科手术中的效果。方法选取2018年1-12月在该院进行下肢骨科手术的患者60例,随机分为观察组和对照组,每组30例。对照组采用椎管内麻醉,观察组,采用超声引导下腰丛、坐骨神经神经阻滞麻醉。记录观察组和对照组患者感觉阻滞起效和维持时间、疼痛程度。结果两组患者的感觉、运动阻滞起效时间差异无统计学意义(P>0.05)。与对照组比较,观察组的感觉、运动阻滞持续时间更长,差异有统计学意义(P<0.05)。结论经临床实践,超声引导下腰丛、坐骨神经阻滞在老年下肢骨科手术中具有镇痛时间长、穿刺风险低等有点,是下肢手术的一种推荐麻醉方法。

objective to observe the effect of ultrasound-guided low plexus and sciatic nerve block in lower extremity orthopedic surgery in the elderly.Methods 60 cases of patients who underwent lower extremity orthopedic surgery in our hospital from January to December 2018 were randomly divided into observation group and control group,with 30 cases in each group.In the control group,intravertebral anesthesia was used,while in the observation group,ultrasound was used to guide the low plexus and sciatic nerve block anesthesia.The onset and maintenance time and pain degree of sensory block in observation group and control group were recorded.Results There was no significant difference in the onset time of sensory and motor block between the two groups(P>0.05).Compared with the control group,the duration of sensory and motor block in the observation group was longer,and the difference was statistically significant(P<0.05).Conclusion In clinical practice,ultrasound-guided low back plexus and sciatic nerve block have long analgesia time and low puncture risk in lower extremity orthopedic surgery for the elderly,which is a recommended anesthesia method for lower extremity surgery.