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髂筋膜及骶丛神经阻滞复合全麻在老年髋关节置换术中的应用分析 被引量:1

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摘要 目的探讨超声引导髂筋膜、骶丛神经阻滞复合喉罩全麻对老年髋关节置换术的血流动力学及术后疼痛的影响。方法择期行髋关节置换术老年患者60例,ASAⅠ~Ⅲ级,随机分为观察组和对照组各30例。观察组予以超声引导腹股沟上髂筋膜阻滞及骶丛神经阻滞,后复合喉罩全麻,对照组予以喉罩全麻。比较两组血流动力学波动情况:麻醉前(T0)、插喉罩即刻(T1)、切皮时(T2)、拔喉罩即刻(T3)、平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO_(2))及苏醒后疼痛VAS评分。结果T2、T3时观察组MAP、HR低于对照组(P<0.05);两组SpO_(2)比较组间无差异(P>0.05);术毕观察组苏醒时间短于对照组,疼痛VAS评分组间比较有显著差异(P<0.05)。结论老年髋关节置换术中予以髂筋膜及骶丛神经阻滞复合喉罩全麻能稳定血流动力学,苏醒快,镇痛优。
机构地区 解放军
出处 《现代医药卫生》 2023年第S01期91-92,共2页 Journal of Modern Medicine & Health
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