摘要
目的分析超声引导下股神经阻滞在高龄患者髋关节置换术后镇痛的安全性及效果。方法选择2019年3月——2020年4月进入我院进行单侧人工髋关节置换术的60例高龄患者作为研究对象,随机将其分为静脉组和阻滞组各30例,两组患者的麻醉方式均是使用腰硬联合方式,静脉组患者进行静脉药物注射镇痛,阻滞组患者进行超声引导下股神经阻滞镇痛,观察对比两组患者术后视觉疼痛模拟评分、不良反应及患者对于镇痛的满意度。结果阻滞组患者的术后视觉疼痛模拟评分均要小于静脉组,阻滞组患者的术后的不良反应发生率低于静脉组,阻滞组患者对于镇痛的满意度评分要高于静脉组,两组结果差异明显(P<0.05),具有统计学意义。结论超声引导下股神经阻滞在高龄患者髋关节置换术后的镇痛效果良好,不良反应发生率低,且患者对镇痛的满意度高,值得推行。
Objective To analyze the safety and effect of ultrasoundguided femoral nerve block in the elderly patients after hip replacement.Methods 60 elderly patients who entered our hospital from March 2019 to April 2020 for unilateral hip arthroplasty were selected as the research objects.They were randomly divided into vein group and block group with 30 cases in each group.The anesthesia mode of the two groups was waist hard combination.The patients in vein group were given intravenous drug injection analgesia,and the patients in block group were given femoral nerve block analgesia under the guidance of ultrasound,The visual pain simulation score,adverse reactions and patients’satisfaction with analgesia were observed and compared between the two groups.Results The visual pain simulation score of patients in block group was lower than that in vein group,the incidence of adverse reactions in block group was lower than that in vein group,the satisfaction score of patients in block group was higher than that in vein group,and the difference between the two groups was significant(P<0.05).Conclusion The effect of ultrasound-guided femoral nerve block in the elderly patients after hip replacement is good,the incidence of adverse reactions is low,and the patients’satisfaction of analgesia is high,and it is worth carrying out.
作者
张炳勇
江培颜
熊光
王高强
胡伟
杨静
ZHANG Bingyong;JIANG Peiyan;XIONG Guang;WANG Gaoqiang;HU Wei;YANG Jing(Department of Anesthesiology,Macheng People's Hospital,Macheng Hubei 438300,China;Orthopedics,Macheng People's Hospital,Macheng Hubei 438300,China)
出处
《中国卫生标准管理》
2020年第24期105-107,共3页
China Health Standard Management
关键词
超声引导
下股神经阻滞
髋关节置换术
镇痛
安全性
价值
ultrasound-guided
lower femoral nerve block
hip replacement
analgesia
safety
value
