摘要
目的分析超声引导下肢神经阻滞在膝关节镜手术的麻醉及术后镇痛中的应用效果。方法选取2017年3月至2018年3月我院收治的90例接受膝关节镜手术的患者为研究对象,随机将患者分为对照组(45例,给予腰-硬联合麻醉)和观察组(45例,给予超声引导下肢神经阻滞)。比较两组患者的麻醉及术后镇痛效果。结果观察组的麻醉实施时间显著长于对照组(P<0.05)。观察组术后6、8、24 h的VAS评分、术后48 h PCIA用药总量均显著低于对照组(P<0.05)。观察组的PCIA有效按压次数显著少于对照组(P<0.05)。观察组的并发症总发生率显著低于对照组(P<0.05)。结论超声引导下肢神经阻滞在膝关节镜手术的麻醉及术后镇痛中效果显著,不仅能取得良好的麻醉效果,而且术后镇痛效果优良,值得临床推广应用。
Objective To analyze the application effect of ultrasound-guided lower extremity nerve block on anesthesia and postoperative analgesia in knee arthroscopy. Methods From March 2017 to March 2018, 90 patients underwent knee arthroscopy in our hospital were selected as study objects and randomly divided into control group（45 cases, combined spinal-epidural anesthesia） and observation group（45 cases, ultrasound-guided lower extremity nerve block）. The anesthetic and postoperative analgesic effects of the two groups were compared. Results The time of anesthesia in the observation group was significantly longer than that in the control group（P〈0.05）. The VAS scores at 6, 8 and 24 hours after operation and the total drug dosage of PCIA at 48 hours after operation in the observation group were significantly lower than those in the control group（P〈0.05）. The effective frequency of PCIA in the observation group was significantly less than that in the control group（P〈0.05）. The total incidence of complications in the observation group was significantly lower than that in the control group（P〈0.05）. Conclusion The ultrasound-guided lower extremity nerve block on anesthesia and postoperative analgesia in knee arthroscopy has a significant effect, which can not only achieve good anesthetic effect,but also achieve good effect of postoperative analgesia. It is worthy of clinical application.
作者
张旭
李龙
ZHANG Xu;LI Long(Anesthesia Department,Ankang Central Hospital,Ankang 725000;Xianyang Central Hospital,Xianyang 712000,China)
出处
《临床医学研究与实践》
2018年第30期73-74,共2页
Clinical Research and Practice
关键词
超声引导
下肢神经阻滞
腰-硬联合麻醉
膝关节镜手术
ultrasound guidance
lower extremity nerve block
combined spinal-epidural anesthesia
knee arthroscopy
