股神经阻滞联合全身麻醉对膝关节置换术患者应激反应分析

Stress response of patients undergoing knee replacement with femoral nerve block combined with general anesthesia

目的分析股神经阻滞联合全身麻醉对膝关节置换术患者应激反应的影响.方法选择2020年8月至2021年8月本院收治膝关节置换术患者96例,按随机数表分为两组,对照组48例予以全身麻醉,研究组48例实施股神经阻滞联合全身麻醉,两组患者应激反应对比.结果研究组术后血糖(5.17±0.38)mmol/L、C反应蛋白(72.03±15.67)mg/L均低于对照组(P<0.05);对比两组术后谵妄发生率,差异无统计学意义(P>0.05).结论股神经阻滞联合全身麻醉用于膝关节置换术患者,不仅能缓解患者应激反应,还能改善其苏醒期谵妄,值得临床推广使用.

Objective To analyze the stress Influence of patients undergoing knee replacement with femoral nerve block combined with general anesthesia.Methods A total of 96 patients undergoing knee replacement in our hospital from August 2020 to August 2021 were selected and divided into two groups according to random number table.48 patients in the control group received general anesthesia,and 48 patients in the research group received femoral nerve block combined with general anesthesia.The stress response of the two groups was compared.Results Blood glucose(5.17±0.38)mmol/L and C-reactive protein(72.03±15.67)mg/L in the study group were lower than those in the control group(P<0.05).There was no significant difference in postoperative delirium incidence between the two groups(P>0.05).Conclusion Femoral nerve block combined with general anesthesia for knee replacement patients can not only relieve the stress response of patients,but also improve their wake delirium,which is worth promoting in clinical use.