股神经股外侧皮神经联合阻滞在危重症股骨骨折患者手术中的应用对SBP、DBP水平的影响

Effect of combined block of femoral nerve and lateral femoral cutaneous nerve on SBP and DBP levels in critical femoral fracture patients

目的:探讨股神经股外侧皮神经联合阻滞在危重症股骨骨折患者手术中的应用对收缩压(SBP)、舒张压(DBP)水平的影响。方法:选取收治的危重症股骨骨折患者64例,应用数字表法将其随机分为两组,对照组32例进行腰-硬联合麻醉,研究组32例进行股神经股外侧皮神经联合阻滞麻醉,比较两组患者不同时间点血压、心率变化情况、麻醉效果、不良反应。结果:麻醉前两组患者SBP、DBP差异无统计学意义(P>0.05);麻醉后5 min、10 min、30 min两组患者SBP、DBP均低于麻醉前,且研究组SBP、DBP高于对照组,差异均有统计学意义(P<0.05)。两组麻醉前、麻醉后5 min、10 min、30 min心率比较差异无统计学意义(P>0.05)。两组麻醉效果比较,差异无统计学意义(P>0.05)。研究组患者不良反应少于对照组,差异有统计学意义(P<0.05)。结论:危重症股骨骨折患者手术中,股神经股外侧皮神经联合阻滞的麻醉效果较好,患者的血压、心率维持稳定,不良反应更少,值得临床使用。

Objective To investigate the effect of combined block of femoral nerve and lateral femoral cutaneous nerve on SBP and DBP levels in the operation of critical femoral fracture patients.Method A total of 64 critically ill patients with femoral fracture were randomly divided into two groups by numerical table method.32 cases of the control group received combined lumbar epidural anesthesia,while 32 cases of the study group received combined block anesthesia of femoral nerve and lateral femoral cutaneous nerve.Blood pressure,heart rate,anesthetic effect and adverse reactions were compared between the two groups at different time points.Results Compared two groups of systolic pressure,diastolic blood pressure before anesthesia,no significant difference(P>0.05),5 min,10 min after anesthesia,after anesthesia 30 min after anesthesia research way systolic pressure,diastolic blood pressure was higher than the control group(P<0.05),systolic pressure,diastolic blood pressure were decreased in both groups,but the team systolic pressure,diastolic blood pressure reduction of smaller,the two groups before anesthesia,5 min,10 min after anesthesia,after anesthesia,after anesthesia,30 min heart rate compared to no significant difference(P>0.05);There was no significant difference in anesthetic effect between the two groups(P>0.05).The adverse reactions in the study group were less than those in the control group(P<0.05).Conclusion In the operation of critically ill patients with femoral fracture,the combined anesthesia effect of femoral nerve and lateral femoral cutaneous nerve block is good,the patient's blood pressure and heart rate remain stable,and the adverse reactions are less,which is worthy of clinical use.