超声引导下股神经与坐骨神经阻滞用于下肢手术的临床分析

发布时间：2018-02-14 10:48

本文关键词： 下肢手术超声骨神经坐骨神经阻滞　出处：《中外医学研究》2016年34期 　论文类型：期刊论文

【摘要】：目的:探讨下肢手术中超声引导下骨神经与坐骨神经阻滞的临床效果。方法:对2015年7月-2016年7月笔者所在医院收治的80例实施单侧下肢手术治疗患者的一般资料进行回顾性分析,所有患者均知情同意。按照随机数字表法,将80例患者分为研究组(超声引导下坐骨神经与骨神经联合阻滞)与对照组(腰硬联合麻醉)。对比两组镇痛及阻滞效果。结果:研究组患者术后2、12、24 h疼痛评分均低于对照组,差异有统计学意义(P0.05);研究组感觉神经阻滞起效时间、感觉神经阻滞完善时间长于对照组,但差异无统计学意义(P0.05),而研究组感觉神经阻滞持续时间长于对照组,差异有统计学意义(P0.05);研究组运动神经阻滞起效时间、运动神经阻滞完善时间长于对照组,但差异无统计学意义(P0.05),而研究组运动神经阻滞持续时间长于对照组,差异有统计学意义(P0.05);研究组、对照组麻醉后低血压发生率分别为2.5%(1/40)、27.5%(11/40),差异有统计学意义(P0.05)。结论:在下肢手术患者的临床治疗过程中,采用超声引导下骨神经与坐骨神经联合阻滞,能获得较好的镇痛及阻滞效果,值得进行深入研究和推广。
[Abstract]:Objective: To investigate the clinical effect of ultrasound guided bone surgery in lower extremity nerve and sciatic nerve block. Methods: July 2015 -2016 year in July the hospital treated 80 cases of the implementation of general data of patients with unilateral lower extremity surgery were retrospectively analyzed. All patients were informed consent. According to the random number table method, 80 patients were divided into as the study group (ultrasound guided combined sciatic nerve and bone nerve block) and control group (CSEA). Comparing the two groups of pain and the blocking effect. Results: the study group patients with postoperative 2,12,24 pain scores of H were lower than that of control group, the difference was statistically significant (P0.05); the study group felt the onset time of nerve the sensory nerve block, complete block time longer than the control group, but the difference was not statistically significant (P0.05), while the study group sensory block duration is longer than the control group, the difference was statistically significant (P0.05); the study group The onset time of motor nerve block and motor nerve block improve longer than the control group, but the difference was not statistically significant (P0.05), while the study group of motor nerve block duration is longer than the control group, the difference was statistically significant (P0.05); the study group, the control group after anesthesia with low blood pressure rates were 2.5% (1/40), 27.5% (11/40), the difference was statistically significant (P0.05). Conclusion: in the clinical treatment of patients with lower limb surgery in the use of ultrasound guided joint bone and sciatic nerve block, block analgesia and can obtain good effect, worthy of further research and promotion.

【作者单位】：厦门市第五医院;
【分类号】：R614

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