[1]钟红辉,郭景琴,邹晓斌.超声引导下高位髂筋膜阻滞联合 窝坐骨神经阻滞用于下肢静脉曲张手术的效果分析[J].医学信息,2024,37(24):24-27.[doi:10.3969/j.issn.1006-1959.2024.24.007]
　ZHONG Honghui,GUO Jingqin,ZOU Xiaobin.Effect Analysis of Ultrasound-guided High Iliac Fascia Block Combined with Popliteal Sciatic Nerve Block for Varicose Vein Surgery of Lower Extremity[J].Journal of Medical Information,2024,37(24):24-27.[doi:10.3969/j.issn.1006-1959.2024.24.007]
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超声引导下高位髂筋膜阻滞联合 窝坐骨神经阻滞用于下肢静脉曲张手术的效果分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年24期
页码:
24-27
栏目:
论著
出版日期:
2024-12-15

文章信息/Info

Title:
Effect Analysis of Ultrasound-guided High Iliac Fascia Block Combined with Popliteal Sciatic Nerve Block for Varicose Vein Surgery of Lower Extremity
文章编号:
1006-1959（2024）24-0024-04
作者:
钟红辉; 郭景琴; 邹晓斌
于都县人民医院麻醉科，江西 于都 342300
Author(s):
ZHONG Honghui; GUO Jingqin; ZOU Xiaobin
Anesthesiology Department of Yudu County People’s Hospital,Yudu 342300,Jiangxi,China
关键词:
高位髂筋膜阻滞; 腘窝坐骨神经阻滞; 超声引导; 下肢静脉曲张手术; 麻醉效果
Keywords:
High fascia iliacblock; Popliteal sciatic nerve block; Ultrasound-guided; Lower limb varicose vein surgery; Anesthetic effect
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2024.24.007
摘要:
目的 探究超声引导下高位髂筋膜阻滞（FIB）联合腘窝坐骨神经阻滞（PSNB）用于下肢静脉曲张手术的临床麻醉效果。方法 以2022年6月-2023年11月于都县人民医院拟行下肢静脉曲张手术治疗的64例患者为研究对象，经随机数字表法分为对照组（32例）与观察组（32例），对照组行硬膜外麻醉，观察组则采用超声引导下高位FIB联合PSNB麻醉。比较两组阻滞完成时间、阻滞起效时间、麻醉效果、血流动力学指标[平均动脉压（MAP）、心率（HR）]、术后止痛效果[视觉模拟评分（VAS）]、麻醉不良反应。结果 两组阻滞完成时间比较，差异无统计学意义（P＞0.05）；观察组阻滞起效时间短于对照组（P＜0.05）；观察组麻醉优良率高于对照组（P＜0.05）；与阻滞前（T0）相比，两组阻滞后20 min（T1）、40 min（T2）及手术结束时（T3）时MAP、HR均有下降，但观察组T1、T2、T3时MAP、HR高于对照组（P＜0.05）。观察组术后VAS评分（静态、动态）低于对照组（P＜0.05）；观察组麻醉不良反应发生率低于对照组（P＜0.05）。结论 超声引导下高位FIB联合PSNB在下肢静脉曲张手术中具有良好的麻醉效果，且阻滞起效快、对血流动力学影响小，术后镇痛效果好，麻醉不良反应少，值得应用。
Abstract:
Objective To explore the clinical anesthesia effect of ultrasound-guided high fascia iliaca block (FIB) combined with popliteal sciatic nerve block (PSNB) in varicose vein surgery of lower extremity.Methods From June 2022 to November 2023, 64 patients who underwent varicose vein surgery in Yudu County People’s Hospital were randomly divided into control group (32patients) and observation group (32 patients). The control group received epidural anesthesia, while the observation group received ultrasound-guided high FIB combined with PSNB anesthesia. The block completion time, block onset time, anesthesia effect, hemodynamic indexes [mean arterial pressure (MAP), heart rate (HR)], postoperative analgesic effect [Visual Analogue Scale (VAS)] and adverse reactions of anesthesia were compared between the two groups.Results There was no significant difference in the completion time of block between the two groups (P>0.05). The onset time of block in the observation group was shorter than that in the control group (P<0.05). The excellent and good rate of anesthesia in the observation group was higher than that in the control group (P<0.05). Compared with before block (T0), the MAP and HR of the two groups decreased at 20 min (T1), 40 min (T2) after block and at the end of operation (T3), but the MAP and HR of the observation group at T1, T2 and T3 were higher than those of the control group (P<0.05). The postoperative VAS score (static and dynamic) of the observation group was lower than that of the control group (P<0.05). The incidence of adverse reactions of anesthesia in the observation group was lower than that in the control group (P<0.05).Conclusion Ultrasound-guided high FIB combined with PSNB has a good anesthetic effect in varicose vein surgery of lower extremity, and the block takes effect quickly, has little effect on hemodynamics, has good postoperative analgesic effect and less adverse reactions of anesthesia, which is worthy of application.

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更新日期/Last Update: 1900-01-01