期刊文献+

股神经阻滞麻醉联合局部浸润麻醉对老年髋关节置换手术患者镇痛、麻醉效果及术后恢复的影响 被引量:4

Effect of femoral nerve block anesthesia combined with local infiltration anesthesia on analgesia,anesthetic effect and postoperative recovery in elderly patients undergoing hip replacement
下载PDF
导出
摘要 目的探讨在老年髋关节置换手术中采用股神经阻滞麻醉联合局部浸润麻醉对镇痛、麻醉效果及术后恢复的影响。方法选择2018年3月—2020年3月在本院行老年髋关节置换手术的患者90例作为研究对象,根据随机数表法将患者分为观察组和对照组两组,每组各45例。对照组实行局部浸润麻醉,观察组在对照组基础上实行股神经阻滞麻醉。对两组麻醉效果、镇痛效果、手术相关指标、不良反应发生情况进行比较。结果观察组感觉阻滞时间、恢复痛觉时间与对照组相比更长(P<0.05);两组术后24 h内视觉模拟评分量表(VAS)评分不断提高(P<0.05),对比两组同一时间点VAS评分,观察组VAS评分明显低于对照组(P<0.05);与对照组相比,观察组住院时间更短(P<0.05),麻醉剂量与阿片类药物使用量更少(P<0.05),手术时间无明显差异(P>0.05),但下床活动时间更长(P<0.05);观察组和对照组患者不良反应发生率分别为4.44%、13.33%,差异无统计学意义(P>0.05)。结论将股神经阻滞麻醉联合局部浸润麻醉应用于老年髋关节置换手术中效果较好,能够有效延长镇痛时间,改善麻醉效果,促进患者术后恢复,效果较为显著。 Objective To investigate the effect of femoral nerve block anesthesia combined with local infiltration anesthesia on analgesia,anesthesia effect and postoperative recovery in hip replacement in the elderly.Methods 90 elderly patients who underwent hip arthroplasty in our hospital from March 2018 to March 2020 were selected as the research object.According to the random digital table method,the patients were divided into two groups,respectively:observation group(n=45)and control group(n=45).The patients in control group was anesthetized with local infiltration.Femoral nerve block was adopted in the observation group on the basis of the control group.The anesthesia effect,analgesic effect,surgery relative indexes and adverse reactions of the two groups were compared.Results The time of sensory block and recovery of pain in the observation group were longer than those of the control group(P<0.05).The VAS score of the two groups was improved continuously(P<0.05)within 24 hours after operation,and the VAS score of the observation group was significantly lower than that of the control group(P<0.05).Compared with the control group,the hospitalization time of observation group was shorter(P<0.05),the amount of anesthetics and opioid drugs was less(P<0.05),and there was no significant difference in operation time between the two groups(P>0.05).Patients in the observation group spent more time in bed before they out off bed for exercise(P<0.05).The incidence of adverse reactions in the observation group and the control group were 4.44%and 13.33%,respectively,however,the difference was not statistically significant(P>0.05).Conclusions The combination of femoral nerve block anesthesia and local infiltration anesthesia is effective in the elderly hip replacement operation,which could effectively prolong the analgesia time,improve the anesthesia effect,and promote the recovery of patients after operation.
作者 杨帆 钱骏平 周玉梅 吴嗣莲 Yang Fan;Qian Junping;Zhou Yumei;Wu Silian(Department of Anesthesiology,Yijishan hospital,the first affiliated hospital of Wannan Medical College,Wuhu,Anhui,241000,China)
出处 《齐齐哈尔医学院学报》 2022年第5期417-420,共4页 Journal of Qiqihar Medical University
基金 医路“格”新-液体治疗科研基金项目(YLGX-WS-2020019)。
关键词 股神经阻滞 局部浸润 髋关节置换手术 麻醉效果 镇痛效果 Femoral nerve block Local infiltration Hip replacement surgery Anesthetic effect Analgesic effect
  • 相关文献

参考文献6

二级参考文献27

共引文献172

同被引文献51

二级引证文献3

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部