摘要
目的 观察髂筋膜间隙阻滞复合髂腹下-髂腹股沟神经阻滞在患儿髋脱位手术术后早期镇痛的效果.方法 选择首次行单侧发育性髋脱位手术患儿40例,年龄2～6岁,随机均分为两组：F组采用髂筋膜间隙阻滞复合髂腹下-髂腹股沟神经阻滞,C组行单纯髂筋膜间隙阻滞,神经阻滞在超声引导下进行.记录送入PACU即刻（T0）、术后1 h（T1）、2 h（T2）、4 h（T3）、6 h（T4）的FLACC评分,手术时间、PACU停留时间及在PACU期间芬太尼追加例数,记录术后不良反应的发生情况.结果 与C组比较,T0～T3时F组FLACC评分明显降低（P＜0.05）.F组PACU停留时间明显短于C组（P＜0.05）.在PACU停留期间F组有3例（15％）,C组有8例（40％）追加芬太尼,差异无统计学意义.术后F组4例（20％）,C组2例（10％）发生恶心呕吐,差异无统计学意义.结论 与单纯髂筋膜间隙阻滞比较,髂筋膜间隙阻滞复合髂腹下-髂腹股沟神经阻滞用于患儿髋脱位手术,术后早期镇痛效果更好.
Objective To observe the effect of fascia iliaca compartment nerve block （FICB） combined with the ilioinguinal/iliohypogastric nerve block （IINB） to early analgesia of children with development dislocation of the hip （DDH）. Methods Forty cases of children with one-sided DDH for the first time, ASA physical status Ⅰ or Ⅱ, aged 2 to 6 years pediatric patients were divided into two groups randomly., group F （FICB and IINB）, group C （FICB only）. Nerve block has been undertaken by ultrasound guided. The time of the operation, FLACC pain scores at PACU 0 h （To）, 1 h （T1）, 2 h （T2）, 4 h （T3）, 6 h （T4） were recorded. Number of PACU additional fentanyl cases,the duration in PACU and postoperatively side effects were also recorded. Results FLACC pain scores of the each point were always lower in the group F when it compared with group C （P〈0. 05）. The duration in PACU of group F was shorter than group C （P〈0.05）. There was no difference in number of PACU additional fentanyl cases （3 vs. 8） and postoperative complications （4 vs. 2） between group F and group （2. Conclusion Compared with FICB only, the methods of FICB combined with IINB performed to pediatric DDH can reduce the pain scores significantly at the early time and provide more stable early pain management postoperativelY.
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
2015年第4期361-364,共4页
Journal of Clinical Anesthesiology
关键词
超声引导
髋脱位
先天性
镇痛
患儿
Ultrasound-guided
Hip dislocation,congenital
Analgesias Child
