综合护理干预对超声引导下行髂筋膜阻滞的高龄髋部手术患者的影响

Effect of integrated nursing intervention on elderly patients underwent ultrasound-guided iliofascia block hip surgery

目的 探讨综合护理干预对超声引导下行髂筋膜阻滞的高龄髋部手术患者的影响。方法 选择2020年3月—2022年3月本院收治的行髋关节手术的80例高龄患者为研究对象,采用随机数表法分为对照组和研究组两组,每组各40例。两组均于脊椎和硬膜外联合麻醉下手术,超声引导下髂筋膜阻滞作为术后镇痛。观察两组髂筋膜阻滞的成功率及完成时间;舒张压(DBP)、收缩压(SBP)、心率(HR)等应激反应;患者满意度。结果 研究组成功率为97%,明显高于对照组为80%,差异有统计学意义(P<0.05);研究组完成时间、起效时间均短于对照组,维持时间长于对照组,差异有统计学意义(P<0.05);干预前后两组组内HR、SBP、DBP比较,差异有统计学意义(P<0.05),干预后两组组间HR、SBP、DBP比较差异有统计学意义(P<0.05);研究组患者满意度为95%,明显高于对照组为75%,差异有统计学意义(P<0.05)。结论 综合护理干预对超声引导下髂筋膜阻滞有助于提高麻醉效率和成功率,减少手术患者应激反应,缓解不良情绪,提高患者满意度,应用价值高,推荐使用。

Objective To investigate the effect of comprehensive nursing intervention on patient underwent ultrasound-guided iliac fascia block hip surgery.Methods 80 elderly patients who underwent hip surgery in Nantong second people’s hospital from March 2020 to March 2022 were selected as the study subjects.The patients were divided into control group(40 cases) and study group(40 cases) according to random table method.All of them received operation under combined anesthesia through spine and epidural approach,and ultrasound-guided iliofascia block was used as postoperative analgesia.The success rate and completion time of iliac fascia block,stress response including diastolic blood pressure(DBP) and systolic blood pressure(SBP) and heart rate(HR),patient satisfactory were observed.Results The success rate in study group was 97%,it was significantly higher than 80% of the control group(P<0.05).The completion time and take effect time of the study group were shorter than the control group,however,maintenance time was longer than the control group(P<0.05).There was a statistically significant difference in HR,SBP and DBP within group before and after intervention(P<0.05).There was a statistically significant difference in HR,SBP and DBP between the two groups after intervention(P<0.05).Postoperative patient satisfaction in the study group was 95%,it was significantly higher than 75% in the control group(P<0.05).Conclusions Comprehensive nursing intervention is helpful to improve the efficiency and success rate of anesthesia of ultrasound guided iliac fascia block,reduces the stress reaction of patients undergoing surgery,alleviates bad emotions,and improves the satisfaction of patients after surgery.It has high application value and can be recommended.