摘要
目的探讨区域神经阻滞麻醉用于股骨粗隆间骨折手术的效果。方法选取医院2020年2月至2022年2月收治的股骨粗隆间骨折患者82例,随机分椎管内麻醉组(对照组)和区域神经阻滞麻醉组(观察组),各41例。结果麻醉后,与对照组比较,观察组血流动力学指标较稳定,应激水平更低(P<0.05)。拔管后10min,观察组疼痛评分显著低于对照组(P<0.05),但镇静评分显著高于对照组(P<0.05);观察组拔管、唤醒时间均显著短于对照组(P<0.05)。观察组低血压发生率显著低于对照组(P<0.05)。结论股骨粗隆间骨折手术时应用区域神经阻滞麻醉方式对血流动力影响较小,不易出现应激反应,可有效镇痛镇静,且安全性较高。
Objective To investigate the application effect of regional nerve block anesthesia in the femoral intertrochanteric fracture(FIF)surgery.Methods A total of 82 patients with FIF admitted to the hospital from February 2020 to February 2022 were selected and randomly divided into the intraspinal anesthesia group(control group)and the regional nerve block anesthesia group(observation group),with 41 cases in each group.Results After anesthesia,compared with those in the control group,the hemodynamic indexes in the observation group were more stable,and the stress level in the observation group was lower(P<0.05).The pain score in the observation group was significantly lower than that in the control group 10min after extubation(P<0.05),while the sedation score in the observation group was significantly higher than that in the control group(P<0.05).The time of extubation and awakening in the observation group was significantly shorter than that in the control group(P<0.05).The incidence of hypotension in the observation group was significantly lower than that in the control group(P<0.05).Conclusion The regional nerve block anesthesia applied in the FIF surgery has less influence on the hemodynamics,it is not easy to cause stress reaction,which is effective and safe in the analgesia and sedation.
作者
祁乐
蒋腾
QI Le;JIANG Teng(Xuzhou Central Hospital,Xuzhou,Jiangsu,China 221009)
出处
《中国药业》
CAS
2022年第S02期109-112,共4页
China Pharmaceuticals
关键词
区域神经阻滞麻醉
股骨粗隆间骨折
应激指标
血流动力学
麻醉效果
regional nerve block anesthesia
femoral intertrochanteric fracture
stress indicator
hemodynamics
anesthetic effect
