超声引导下髂腹股沟-髂腹下神经阻滞在老年宫颈癌根治性手术中的应用

发布时间：2018-02-08 09:35

本文关键词： 超声引导髂腹股沟-髂腹下神经阻滞宫颈癌根治术　出处：《中国老年学杂志》2017年13期 　论文类型：期刊论文

【摘要】：目的探讨超声引导下髂腹股沟-髂腹下神经阻滞与复合气管内插管全身麻醉(全麻)在老年宫颈癌根治术中的应用效果。方法老年宫颈癌患者62例随机分为试验组和对照组,试验组给予全麻复合超声引导下髂腹股沟-髂腹下神经阻滞,对照组给予单纯气管内插管全麻,对比两组麻醉效果及麻醉相关不良反应发生率。结果试验组手术时间、清醒时间、丙泊酚及舒芬太尼总用量均显著少于对照组(P0.05)。试验组术后视觉模拟评分(VAS)、按压自控泵次数及自控泵持续应用时间均显著低于对照组(P0.05)。试验组围术期的麻醉相关不良反应发生率显著少于对照组(P0.05)。结论超声引导下髂腹股沟-髂腹下神经阻滞可显著提高宫颈癌根治术围术期及术后的镇痛效果,减少不良反应发生。
[Abstract]:Objective to investigate the effect of ultrasound guided ilioinguinal inferior iliac nerve block and general anesthesia (general anesthesia) combined with intratracheal intubation. Methods Sixty-two elderly patients with cervical cancer were randomly divided into two groups: the experimental group and the control group. The experimental group was given general anesthesia combined with ultrasound guided ilioinguinal and inferior iliac ventral nerve block, while the control group was given simple endotracheal intubation general anesthesia to compare the anesthetic effect and the incidence of anaesthesis-related adverse reactions. Waking time, The total dosage of propofol and sufentanil was significantly lower than that of the control group (P 0.05). The visual analogue score (VASA), the times of pressing the self-controlled pump and the duration of the self-control pump in the experimental group were significantly lower than those in the control group (P 0.05). The anaesthesia related to the perioperative period in the experimental group was not significantly lower than that in the control group. The incidence of good reaction was significantly lower than that of the control group (P0.050.Conclusion Ultrasound-guided ilioinguinal inferior iliac nerve block can significantly improve the perioperative and postoperative analgesic effect of cervical cancer. Reduce the incidence of adverse reactions.
【作者单位】：安徽医科大学第二附属医院麻醉科;
【分类号】：R614;R737.33

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