股神经联合坐骨神经阻滞麻醉用于老年单侧下肢手术的麻醉效果及对血流动力学的影响

发布时间：2018-03-19 17:21

本文选题：股神经　切入点：坐骨神经　出处：《现代生物医学进展》2016年06期 　论文类型：期刊论文

【摘要】：目的:研究股神经联合坐骨神经阻滞麻醉用于老年单侧下肢手术的麻醉效果及对血流动力学的影响。方法:选取2014年1月到2015年1月我院收治的老年单侧下肢手术患者70例,按照随机数字表法将患者分为研究组和对照组,每组35例,研究组给予股神经联合坐骨神经阻滞麻醉,对照组给予蛛网膜下腔麻醉,比较两组麻醉效果,麻醉前、麻醉15 min、麻醉半小时收缩压(SBP)、舒张压(DBP)、心率(HR),并观察不良反应的发生率。结果:麻醉15 min、半小时后对照组SBP和DBP显著低于研究组,也显著低于麻醉前,比较差异有统计学意义(P0.05),研究组麻醉15 min、半小时后SBP和DBP与麻醉前比较无统计学意义(P0.05),麻醉15 min、半小时后两组HR与麻醉前比较无统计学意义(P0.05);研究组不良反应发生率显著低于对照组,两组比较差异具有统计学意义(P0.05)。结论:股神经联合坐骨神经阻滞麻醉用于老年单侧下肢手术麻醉效果与蛛网膜下腔麻醉相当,对血流动力学影响较少,安全性较高。
[Abstract]:Objective: to study the anesthetic effect of femoral nerve combined with sciatic nerve block anesthesia on hemodynamics in elderly patients undergoing unilateral lower limb surgery. Methods: from January 2014 to January 2015, 70 elderly patients with unilateral lower extremity operation were selected. According to the method of random number table, the patients were divided into study group (n = 35) and control group (n = 35). The study group was given femoral nerve combined with sciatic nerve block anesthesia, and the control group was given subarachnoid anesthesia. At 15 min after anesthesia, systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HRN) were observed, and the incidence of adverse reactions was observed. Results: the SBP and DBP of the control group were significantly lower than those of the study group and before anesthesia. The difference was statistically significant (P 0.05). There was no significant difference between SBP and DBP in the study group after anesthesia for 15 min, and no significant difference in SBP and DBP after half an hour compared with that before anesthesia. There was no significant difference in HR between the two groups after half an hour of anesthesia compared with that before anesthesia (P 0.05), and the adverse reactions occurred in the study group. The birth rate was significantly lower than that in the control group. Conclusion: the effect of femoral nerve combined with sciatic nerve block anesthesia on unilateral lower limb surgery in the elderly is comparable to that of subarachnoid anesthesia, and has little effect on hemodynamics and high safety.
【作者单位】：成都体育学院附属体育医院麻醉科;四川省骨科医院麻醉科;
【分类号】：R614

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