双侧股神经阻滞麻醉对老年双膝关节置换术患者血流动力学和苏醒时间的影响

发布时间：2018-06-28 09:02

本文选题：双侧骨神经 + 阻滞麻醉　；参考：《中外医疗》2016年15期

【摘要】：目的研究双侧骨神经阻滞麻醉对于老年双膝关节置换术患者的血流动力和苏醒时间的影响。方法方便选取该院在2014年2月—2015年2月接收的60名即将进行双膝关节置换手术的患者,随机分为实验组和对照组,每组30例,其中对实验组患者实施双侧股神经阻滞麻醉,对照组在手术前实施全身麻醉,对两组患者在麻醉前、全麻诱导后、全麻诱导后即刻、手术开始、手术开始60 min、手术进行120 min、患者苏醒时HR、平均脉动压进行比较。对实验组和对照组患者的进行的手术时间以及止血所用的时间。术中使用的丙泊酚、芬太尼、瑞芬太尼的用量做出记录,对患者的苏醒时间、拔管时间做出详细的观察。结果两组患者均在进行麻醉后顺利完成手术,实验组和对照组的手术时间差异无统计学意义,止血带应用的时间分别是(109.3±21.1)min、(122.5±21.6)min,两组的数据比较差异有统计学意义,实验组丙泊酚等药物用量明显低于对照组,患者的苏醒时间和拔管时间明显短于对照组。结论双侧股神经阻滞麻醉同全身麻醉相比在老年双膝关节置换术中患者的具有明显的优势,可以在手术中减少对患者使用静脉镇静和镇痛药物,很好的稳定了血流动力学,缩短了患者手术后的苏醒时间。
[Abstract]:Objective to study the effects of bilateral bone-nerve block anesthesia on hemodynamics and recovery time in elderly patients undergoing bilateral knee arthroplasty. Methods 60 patients received from February 2014 to February 2015 were randomly divided into experimental group (n = 30) and control group (n = 30). The patients in the control group were given general anesthesia before operation, immediately after induction of general anesthesia, 60 minutes after operation and 120 minutes after operation. The HRand mean pulsatile pressure were compared when the patients woke up. The operative time and hemostasis time of the patients in the experimental group and the control group. The dosage of propofol, fentanyl and remifentanil were recorded. Results all the patients in the two groups completed the operation successfully after anesthesia. There was no significant difference in the operation time between the experimental group and the control group, and the time of tourniquet application was (109.3 卤21.1) min, (卤21.6) minutes. The difference between the two groups was statistically significant. The dosage of propofol in the experimental group was significantly lower than that in the control group, and the recovery time and extubation time of the patients were significantly shorter than that of the control group. Conclusion compared with general anesthesia, bilateral femoral nerve block anesthesia has obvious advantages in the elderly patients undergoing double knee arthroplasty. It can reduce the use of intravenous sedation and analgesic drugs in the operation and stabilize hemodynamics. The recovery time after operation was shortened.
【作者单位】：烟台市莱阳中心医院麻醉科;
【分类号】：R614

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