下肢神经阻滞联合喉罩麻醉在髋关节手术患者中的应用效果观察

Effect of lower limb nerve block combined with laryngeal mask anesthesia in patients undergoing hip surgery

目的 探讨髋关节手术患者应用下肢神经(髂筋膜间隙)阻滞联合喉罩麻醉的效果.方法 以溧阳市中医医院收治的80例行髋关节手术治疗的患者为研究对象,时间为2020年3月-2022年3月,将其随机分为两组,每组40例.对照组采用喉罩全身麻醉,观察组采用超声引导下髂筋膜间隙阻滞联合喉罩全身麻醉,比较两组患者的手术期间血流动力学水平和术后恢复情况.结果 观察组切皮后5min(T2)、骨膜剥离时(T3)、拔管时(T4)的心率(HR)水平高于对照组,平均动脉压(MAP)水平低于对照组,差异有统计学意义(P<0.05).观察组清醒时间、拔喉罩时间、住院时间、下床活动时间短于对照组,差异有统计学意义(P<0.05).结论 髋关节手术患者应用下肢神经阻滞联合喉罩麻醉,效果显著.

Objective To investigate the effect of lower limh nerve(iliac fascial block)block combined with laryngeal mask anesthesia in patients undergoing hip surgery.Methods 80 patients with hip surgery in our hospital were randomly divided into two groups,with 40 cases in each group.The control group was anesthetized by laryngeal mask,and the observation group was anesthetized by ultrasound-guided iliac fascia space block combined with laryngeal mask.The hemodynamic level and postoperative recovery of the two groups were compared.Resul ts The heart rate(HR)levels of the observation group at 5 min after skin incision(T2).during periosteal stripping(T,)and during extubation(Ta)were higher than those of the control group,and the average arterial pressure(MAP)level was lower than that of the control group(P<0.05),The awake time,laryngeal mask removal time,hospialization time and out of bed activity time in the observation group were shorter than those in the control group(P<0.05).Conc lus ion The lower limh nerve block combined with laryngeal mask anesthesia is effective in patients undergoing hip surgery.