摘要
目的:分析超声引导下臂丛联合颈中丛神经阻滞复合全麻对锁骨骨折患者术后短期认知功能及睡眠质量的影响。方法:选取2022年3月至2023年7月福建省福清市第二医院收治的锁骨骨折患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例。对照组给予单纯全麻方式干预,观察组给予超声阻滞复合全麻干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,采用简易精神状态检查(MMSE)比较2组患者的认知功能,并比较2组患者的麻醉率。结果:干预后,观察组麻醉优良率显著高于对照组,观察组术后1 d、3 d的MMSE评分均高于对照组,观察组患者术后5 d的PSQI各因子得分均显著低于对照组,差异均有统计学意义(均P<0.05)。结论:对于锁骨骨折患者采取超声引导下臂丛联合颈中丛神经阻滞复合全麻的麻醉效果较为理想,可减轻对患者术后短期认知功能的影响,改善患者术后睡眠状况,值得推广应用。
Objective:To analyze the effects of ultrasound-guided brachial plexus combined with cervical plexus block combined with general anesthesia on short-term cognitive function and sleep quality in patients with clavicle fractures after surgery.Methods:A total of 80 patients with clavicle fractures admitted to the Fuqing Second Hospital in Fujian Province from March 2022 to July 2023 were selected as the study subjects.They were randomly divided into a control group and an observation group using a random number table method,with 40 cases in each group.The control group received simple general anesthesia intervention,while the observation group received ultrasound block combined with general anesthesia intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality between two groups of patients before and after intervention.The Mini-mental State Examination(MMSE)was used to compare the cognitive function of the two groups of patients,and the anesthesia rates of the two groups of patients were compared.Results:After intervention,the excellent anesthesia rate in the observation group was significantly higher than that in the control group.The MMSE scores of the observation group were higher than those of the control group on the 1st and 3rd day after surgery.The PSQI scores of the observation group patients on the 5th day after surgery were significantly lower than those of the control group,and the differences between the two groups were statistically significant(P s<0.05).Conclusion:The anesthesia effect of ultrasound-guided brachial plexus combined with cervical plexus nerve block combined with general anesthesia is ideal for patients with clavicle fractures,which can reduce the impact on short-term cognitive function and improve postoperative sleep status.It is worth promoting and applying.
作者
薛晓文
XUE Xiaowen(Fuqing Second Hospital in Fujian Province,Fuqing 350315,China)
出处
《世界睡眠医学杂志》
2024年第2期260-262,共3页
World Journal of Sleep Medicine
关键词
锁骨骨折
全麻
超声引导下臂丛联合颈中丛神经阻滞
认知功能
睡眠状况
Clavicle fracture
General anesthesia
Ultrasound-guided brachial plexus combined with cervical plexus block
Cognitive function
Sleep status
