外周神经阻滞麻醉的临床应用

发布时间：2018-02-24 10:42

本文关键词： 外周神经阻滞麻醉临床应用　出处：《中外医疗》2012年34期 　论文类型：期刊论文

【摘要】：目的探讨外周神经阻滞麻醉的临床应用及效果,总结分析方法。方法将患者分为观察组与对照组,每组各35例,通过对患者的临床资料进行整理分析,以镇痛效果为指标来观察和比较两组麻醉阻滞效果,并对麻醉良好率和并发症发生率进行统计比较。结果在坐骨神经联合股神经、下肢手术股神经、坐骨神经以及上肢手术臂丛神经几种类型神经麻醉阻滞后的镇痛效果上,观察组较之对照组均明显更佳,在麻醉良好率上,观察组较之对照组优良率更高。观察组共出现1例穿刺部位感染患者,占2.9%;对照组出现4例神经损伤患者,2例麻药毒性反应患者,占17.1%。观察组并发症更轻,且并发症发生率明显更低。两组比较差异有统计学意义(P0.05)。结论在临床手术中,外周神经阻滞麻醉的效果良好,采取神经刺激器进行准备的穿刺定位,疼痛小,安全可靠,值得在临床上借鉴使用。
[Abstract]:Objective to investigate the clinical application and effect of peripheral nerve block anesthesia and to summarize and analyze the methods. Methods the patients were divided into observation group and control group with 35 cases in each group. The analgesic effect was used as an index to observe and compare the analgesic effect of the two groups, and the good anaesthesia rate and complication rate were compared statistically. Results the sciatic nerve combined with the femoral nerve and the femoral nerve in lower extremities were operated on. The analgesic effect of sciatic nerve and brachial plexus nerve after operation was better in the observation group than in the control group. The excellent and good rate of the observation group was higher than that of the control group. In the observation group, there was 1 patient with puncture site infection (2.9%), while in the control group there were 4 cases of nerve injury and 2 cases (17.1%) of the toxic reaction of anesthetic. The complications of the observation group were lighter than that of the control group. The incidence of complications was significantly lower. The difference between the two groups was statistically significant (P0.050.Conclusion in clinical operation, peripheral nerve block anesthesia has a good effect, the nerve stimulator is used to prepare the puncture location, the pain is small, safe and reliable. It is worth using for reference in clinic.
【作者单位】：昆明市经开人民医院手术麻醉科;
【分类号】：R614.4

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