摘要
目的:研究分析膝关节置换手术患者接受腰丛-坐骨神经阻滞麻醉和腰硬联合麻醉的效果差异。方法:选取我院2019年6月-2020年8月收治的膝关节置换手术患者68例,随机分为观察组、对照组,各34例,对照组行腰硬联合麻醉,观察组行腰丛-坐骨神经阻滞麻醉,对比2组麻醉效果差异。结果:观察组操作准备时间以及术后首次排尿时间均显著短于对照组(P<0.05);麻醉后20分钟,观察组心率、平均动脉压均显著高于对照组(P<0.05);观察组术后无不良反应发生,对照组不良反应发生率为26.47%,组间差异存在统计学意义(P<0.05);观察组的运动、感觉神经阻滞的起效时间均短于对照组(P<0.05),而恢复时间均长于对照组(P<0.05)。结论:在膝关节置换术中,腰丛-坐骨神经阻滞麻醉优势明显大于腰硬联合麻醉,具有起效快、术后意识恢复快、生命体征稳定等优势,且术后不良反应少,具有广泛运用价值。
Objective:Study and analyze the difference between lumbar plexus sciatic nerve block anesthesia and combined spinal epidural anesthesia in patients undergoing knee replacement surgery.Methods:68 patients with knee arthroplasty were randomly divided into the observation group and the control group(34 cases in each group).The control group received combined spinal epidural anesthesia and the observation group received lumbar plexus sciatic nerve block anesthesia.The anesthetic effects of the two groups were compared.Results:The operation preparation time and the first postoperative urination time in the observation group were significantly shorter than those in the control group(P;20min after anesthesia,The heart rate and mean arterial pressure in the observation group were significantly higher than those in the control group(P<0.05);There was no adverse reaction in the observation group(0.00%),and the adverse reaction rate in the control group(26.47%).There was significant difference between the two groups(P<0.05);The onset time of motor and sensory nerve block in the study group was shorter than that in the control group(P<0.05),and the recovery time was longer than that in the control group(P<0.05).Conclusion:The advantages of lumbar plexus sciatic nerve block anesthesia in knee arthroplasty are significantly greater than those of combined spinal epidural anesthesia.It has the advantages of rapid onset,rapid postoperative recovery of consciousness,stable vital signs,and less postoperative adverse reactions.It has wide application value.
作者
朱婷婷
ZHU Tingting(Department of anesthesiology,the second affiliated hospital of Shenyang medical college,Shenyang,Liaoning 110027)
出处
《中国伤残医学》
2023年第10期14-17,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
膝关节置换手术
腰丛-坐骨神经阻滞麻醉
腰硬联合麻醉
不良反应发生率
Knee arthroplasty
Lumbar plexus sciatic nerve block anesthesia
Combined spinal epidural anesthesia
Adverse reaction rate
