[1]张明东,王士雷.超声引导前路坐骨、股神经阻滞在腰椎疾病下肢手术的应用研究[J].医学信息,2018,31(02):101-102.[doi:10.3969/j.issn.1006-1959.2018.02.035]
　ZHANG Ming-dong,WANG Shi-lei.Application of Ultrasound-guided Anterior Sciatic Nerve Block and Femoral Nerve Block in Lower Limb Operation of Lumbar Spine Disease[J].Journal of Medical Information,2018,31(02):101-102.[doi:10.3969/j.issn.1006-1959.2018.02.035]
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超声引导前路坐骨、股神经阻滞在腰椎疾病下肢手术的应用研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年02期
页码:
101-102
栏目:
临床研究
出版日期:
2018-01-15

文章信息/Info

Title:
Application of Ultrasound-guided Anterior Sciatic Nerve Block and Femoral Nerve Block in Lower Limb Operation of Lumbar Spine Disease
文章编号:
1006-1959（2018）02-0101-02
作者:
张明东; 王士雷
青岛大学医学院附属医院麻醉科，山东 青岛 266003
Author(s):
ZHANG Ming-dong; WANG Shi-lei
Department of Anesthesiology,Affiliated Hospital of Qingdao University Medical College,Qingdao 266003,Shandong,China
关键词:
超声引导; 神经阻滞; 全身麻醉; 下肢骨折手术
Keywords:
Key words：Ultrasonic guidance; Nerve block; General anesthesia; Lower extremity fracture surgery
分类号:
R614.4；R614.2
DOI:
10.3969/j.issn.1006-1959.2018.02.035
文献标志码:
A
摘要:
目的 探讨超声引导下前路坐骨神经、股神经阻滞麻醉联合全身麻醉在腰椎疾病行下肢手术中的应用可行性。方法 选取2016年12月~2017年6月于我院行下肢手术的腰椎疾病患者80例，随机分为观察组和对照组，各40例，对照组患者行单纯全身麻醉，观察组在全身麻醉的同时联合B超引导前路坐骨神经、股神经阻滞。分析两组患者的术后苏醒时间、苏醒后躁动情况及麻醉药物的用量。结果 观察组患者手术中麻醉药物用量少于对照组，患者的拔管时间及苏醒时间也比对照组短，差异具有统计学意义（P＜0.05）。观察组患者苏醒后的躁动情况发生率及躁动程度均低于对照组，差异具有统计学意义（P＜0.05）。结论 超声引导下前路坐骨神经、股神经阻滞联合全身麻醉在腰椎疾病患者中，能够减少镇痛药物用量，维持稳定的术中血流，提高镇痛效果，促进拔管与早期活动，是理想的下肢骨折手术麻醉方式。
Abstract:
Abstract：Objective To investigate the feasibility of ultrasound-guided anterior sciatic nerve and femoral nerve block anesthesia combined with general anesthesia in lumbar surgery.Methods 80 patients with lumbar spine disease undergoing lower extremity operation in our hospital from December 2016 to June 2017 were randomly divided into observation group and control group,40 cases in each group,patients in the control group underwent general anesthesia.The observation group underwent general anesthesia combined with B-guided anterior sciatic nerve and femoral nerve block.Analysis of two groups of patients after the recovery time,wake up after the rest and the amount of anesthetic drugs.Results The amount of anesthetic used in the observation group was less than that of the control group.The extubation time and recovery time were also shorter in the observation group than in the control group,the difference was statistically significant(P<0.05).The incidence of restlessness and degree of restlessness in the observation group were lower than those in the control group after awakening,the difference was statistically significant(P<0.05).Conclusion Ultrasound-guided anterior sciatic nerve and femoral nerve block combined with general anesthesia can reduce the dosage of analgesic drugs maintain stable intraoperative blood flow improve the analgesic effect and promote extubation and early activity in patients with lumbar vertebrae disease.It is an ideal anaesthesia for lower limb fracture surgery.

参考文献/References:

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更新日期/Last Update: 2018-02-15