摘要
目的探讨浸润麻醉与连续股神经阻滞麻醉联合应用的镇痛效果。方法选取接受全膝关节置换手术患者80例,随机分成2组。对照组术前给予连续股神经阻滞麻醉,试验组给予浸润麻醉与连续股神经阻滞麻醉,比较2组镇痛效果及恢复清醒时间。结果试验组患者8、12、24、48 h的静态、动态VAS评分显著低于对照组(P<0.05)。试验组自主呼吸恢复时间、监护室停留时间、出室时间显著短于对照组(P<0.05)。结论采用浸润麻醉联合连续股神经阻滞麻醉的镇痛效果显著。
Objective To explore analgesic effect of continuous femoral nerve blockage combined with infiltration anesthesia in patients with total knee arthroplasty. Methods A total of 80 patients with total knee arthroplasty were randomly divided into experimental group and control group.Patients in control group were treated with continuous femoral nerve blockage,and patients in experimental group were given continuous femoral nerve blockage and infiltration anesthesia. Analgesic effect and recovery time were compared. Results The static and dynamic VAS scores in the experimental group were significantly lower than those in the control group at 8,12,24,48 hours（ P〈0. 05）.Spontaneous breathing recovery time,ICU stay time and ICU off time in the experimental group were significantly shorter than those in the control group（ P〈0. 05）. Conclusion The combination of continuous femoral nerve blockage and infiltration anesthesia is effective in treatment of patients with total knee arthroplasty.
出处
《实用临床医药杂志》
CAS
2017年第1期78-80,共3页
Journal of Clinical Medicine in Practice
基金
湖北省自然科学基金项目(2014CBF12)
关键词
浸润麻醉
连续股神经阻滞麻醉
全膝关节置换手术
镇痛
infiltration anesthesia
continuous femoral nerve blockage
total knee arthroplasty
analgesia
