摘要
目的探讨超声引导神经阻滞复合全身麻醉在胫骨骨折手术中的应用效果。方法选取2018年1月至2020年12月本院收治的102例胫骨骨折手术患者作为研究对象,采用随机数字表法分为参照组与实验组,每组51例。参照组采用全身麻醉,实验组采用超声引导神经阻滞复合全身麻醉,比较两组麻醉效果(拔管时间、苏醒时间、术中异丙酚使用量)、不同时间点疼痛数字评分法(NRS)及不良反应发生率。结果实验组拔管时间[(14.89±3.22)min]、苏醒时间[(11.05±3.89)min]均短于参照组[(19.49±4.53)、(14.13±2.77)min],术中异丙酚使用量[(478.71±57.45)mg]少于参照组[(681.06±64.95)mg],差异有统计学意义(P<0.05)。术后6、12、24 h,实验组NRS评分[(2.32±0.87)、(2.05±0.75)分、(1.32±0.45)分]均低于参照组[(3.07±0.93)、(2.65±0.93)、(1.95±0.86)分],差异有统计学意义(P<0.05)。实验组不良反应发生率为7.84%,低于参照组的27.45%,差异有统计学意义(P<0.05)。结论超声引导神经阻滞复合全身麻醉应用于胫骨骨折手术患者中效果显著,可缩短拔管时间、麻醉苏醒时间,减少术中异丙酚使用量,缓解患者疼痛程度,降低不良反应发生率,值得临床推广应用。
Objective To investigate the application effect of ultrasound-guided nerve block combined with general anesthesia in tibial fracture surgery.Methods A total of 102 patients with tibial fracture surgery admitted to our hospital from January 2018 to December 2020 were selected as the research subjects,and they were divided into the reference group and experimental group according to random number table method,with 51 cases in each group.The reference group was given general anesthesia,and the experimental group was given ultrasound-guided nerve block combined general anesthesia,the anesthetic effect(extubation time,recovery time,intraoperative amount of propofol),numerical rating scale(NRS)at different time points and the incidence of adverse reactions were compared between the two groups.Results The extubation time([14.89±3.22]min)and re-covery time([11.05±3.89]min)in the experimental group were shorter than those in the reference group([19.49±4.53],[14.13±2.77]min),the intra-operative amount of propofol([478.71±57.45]mg)was less than that in the reference group([681.06±64.95]mg),the difference was statistically significant(P<0.05).At 6,12,24 h after surgery,the NRS score([2.32±0.87],[2.05±0.75],[1.32±0.45]scores)in experimental group were lower than those in the reference group([3.07±0.93]),(2.65±0.93),[1.95±0.86]scores,the differences were statistically significant(P<0.05).The incidence of adverse reactions in the experimental group was 7.84%,which was lower than 27.45% in the reference group,the difference was statistically significant(P<0.05).Conclusion Ultrasound-guided nerve block combined with general anesthesia has significant effect on patients undergoing tibial fracture surgery,which can shorten extubation time,anesthesia recovery time,reduce intraoperative use of propofol,relieve patients'pain and reduce the incidence of adverse reactions,it is worthy of clinical promotion and application.
作者
张洪江
李树霞
李锋
ZHANG Hongjiang;LI Shuxia;LI Feng(Department of Anesthesiology,Linyi Central Hospital,Linyi,Shandong,276400,China;Department of Pathology,Linyi Central Hospital,Linyi,Shandong,276400,China)
出处
《当代医学》
2023年第4期87-90,共4页
Contemporary Medicine
关键词
胫骨骨折
超声引导
神经阻滞麻醉
全身麻醉
麻醉效果
疼痛评分
不良反应
Tibia fracture
Ultrasonic guidance
Nerve block anesthesia
General anesthesia
Anesthetic effect
Pain score
Adverse reactions
