超声引导神经阻滞复合全身麻醉应用于胫骨骨折手术中的效果分析

Effect analysis of combined application of general anesthesia guided by ultrasound guided nerve block in tibial fracture surgery

目的分析超声引导神经阻滞复合全身麻醉应用于胫骨骨折手术中的效果。方法选取78例胫骨骨折切开复位内固定手术患者作为研究对象,对照组(39例)行全身麻醉,研究组(39例)行超声引导神经阻滞复合全身麻醉。结果两组胫骨骨折切开复位内固定手术患者麻醉之前的VAS评分、Ramsay评分无统计学意义(P>0.05);与对照组比较,研究组39例胫骨骨折切开复位内固定手术患者拔管后10min Ramsay评分、30min VAS评分更低,差异有统计学意义(P<0.05)。结论超声引导神经阻滞复合全身麻醉应用于胫骨骨折手术中的效果显著,值得在临床麻醉工作中推广运用。

Objective to analyze the effect of combined use of ultrasound-guided nerve block and general anesthesia in tibial fracture surgery. Methods 78 patients with open reduction and internal fixation of tibial fracture were selected as the study objects,and the control group( 39 cases) received general anesthesia,and the study group( 39 cases) received general anesthesia guided by ultrasound and nerve block. Results open reduction and internal fixation in patients before anesthesia,VAS score and Ramsay score of two groups had no statistically significant tibial fractures( P>0. 05); compared with the control group,the study group 39 cases of tibial incision after 10 min Ramsay score,30 min VAS score reduction and internal fixation with lower pull tube fracture,the difference was statistically significant( P<0. 05). Conclusion ultrasound guided nerve block combined with general anesthesia for tibial fracture surgery is effective,and it is worth popularizing in clinical anesthesia work.