摘要
目的:探讨髌骨骨折手术中股神经-股外侧皮神经联合阻滞麻醉的效果。方法:收治髌骨骨折手术患者60例,按照硬币法分为对照组和研究组。对照组予以硬膜外麻醉,研究组予以股神经-股外侧皮神经联合阻滞麻醉,比较两组治疗效果。结果:对照组阻滞优良率明显低于研究组(P<0.05);研究组运动阻滞持续时间显著短于对照组,其镇痛时间显著长于对照组(P<0.05);研究组不良反应发生率低于对照组(P<0.05)。结论:髌骨骨折手术中运用股神经-股外侧皮神经联合阻滞麻醉有利于维持血流动力学稳定,提高麻醉效果,减少不良反应,延长镇痛时间。
Objective:To investigate the effect of combined femoral nerve and lateral femoral cutaneous nerve block in the operation of patella fracture.Methods:60 cases of patellar fracture were selected,they were divided into the control group(with epidural anesthesia)and the study group(with femoral nerve to the lateral femoral cutaneous nerve block anesthesia),according to the coin method,with 30 cases in each group.Results:The good rate of control in the control group was significantly lower than that in the study group(P<0.05);the duration of motor block in the study group was significantly shorter than that of the control group,and its analgesic time was significantly longer than that of the control group(P<0.05),and the incidence of adverse reactions in the study group was lower than that of the control group(P<0.05).Conclusion:The combination of femoral nerve and lateral femoral cutaneous nerve block anesthesia in the operation of patellar fracture is beneficial to maintain the stability of hemodynamics,improve the effect of anesthesia,reduce adverse reactions and prolong the time of analgesia.
作者
田元
师雄
Tian Yuan;Shi Xiong
出处
《中国社区医师》
2018年第25期45-46,共2页
Chinese Community Doctors
关键词
髌骨骨折手术
股神经阻滞
股外侧皮神经阻滞
Operation of patellar fracture
Femoral nerve block
Lateral femoral cutaneous nerve block
