对行膝关节镜手术的患者联合进行坐骨神经阻滞麻醉与腰丛麻醉的效果探析

发布时间：2018-02-14 19:59

本文关键词： 膝关节镜手术坐骨神经阻滞麻醉腰丛麻醉效果　出处：《当代医药论丛》2016年01期 　论文类型：期刊论文

【摘要】：目的 :探讨对进行膝关节镜手术的患者联合进行坐骨神经阻滞麻醉与腰丛麻醉的临床效果。方法 :对近年来在我院接受膝关节镜手术的84例患者的临床资料进行回顾性研究。我院随机将这些患者分为对照组和观察组,每组各有42例患者。我院对对照组患者进行腰硬联合麻醉,对观察组患者联合进行坐骨神经阻滞麻醉与腰丛麻醉,然后比较两组患者的麻醉效果。结果 :两组患者在接受麻醉后,观察组患者进行麻醉准备和操作的时间(Tr)、感觉完全阻滞的时间(T1)、感觉恢复的时间(T2)、运动功能完全阻滞的时间(T3)、术毕至运动功能恢复的时间(T4)、术毕至第1次排尿的时间(Tu)等指标均明显优于对照组患者,差异显著(P0.05),具有统计学意义。观察组患者在麻醉20分钟后(T20)的血压水平明显优于对照组患者,差异显著(P0.05),具有统计学意义。结论 :对进行膝关节镜手术的患者联合进行坐骨神经阻滞麻醉与腰丛麻醉的临床效果显著,此麻醉方法值得在临床上推广应用。
[Abstract]:Objective: to investigate the clinical effect of sciatic nerve block anesthesia and lumbar plexus anesthesia on patients undergoing knee arthroscopy. Methods: 84 patients undergoing knee arthroscopy in our hospital in recent years were studied. These patients were randomly divided into control group and observation group. There were 42 patients in each group. The patients in the control group were treated with combined spinal-epidural anesthesia, and the patients in the observation group were subjected to sciatic nerve block anesthesia and spinal plexus anesthesia. Then the anesthetic effects of the two groups were compared. Results: after receiving anesthesia, The time of anaesthesia preparation and operation in the observation group was Tran, the time of complete sensory block was T _ 1, the time of sensory recovery was T _ 2, the time of complete motor function block was T _ 3, the time of motor function recovery was T _ (4), and the time of the first time of urination was found at the end of operation. Time Tub and other indexes were significantly better than those of the control group. The blood pressure of the patients in the observation group was significantly higher than that in the control group 20 minutes after anesthesia. Conclusion: the clinical effect of sciatic nerve block anesthesia and lumbar plexus anesthesia on patients undergoing knee arthroscopy is significant, and this method is worth popularizing in clinic.
【作者单位】：四川省泸州市中医医院麻醉科;
【分类号】：R614

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