胫骨骨折手术运用超声引导下神经阻滞复合喉罩全麻后的麻醉效果与安全性分析

发布时间：2018-11-05 21:00

【摘要】：目的探讨超声引导下神经阻滞复合喉罩全麻在胫骨骨折手术中的应用效果。方法研究我院在2014年5月至2015年11月期间收治的80例胫骨骨折手术患者,分为对照组和观察组各40例,其中对照组运用喉罩全麻,观察组运用超声引导下神经阻滞复合喉罩全麻,分析两组患者麻醉相关指标差异。结果拔管后半小时VAS评分上,观察组(1.8±0.3)分显著低于对照组(4.0±0.4)分,两组差异具有统计学意义,P0.05;在麻醉后的动脉压指数上,对照组均低于对照组,两组差异具有统计学意义,P0.05;在唤醒时间和拔管时间上,观察组各项均早于对照组,两组差异具有统计学意义,P0.05;在术后并发症发生率上,对照组为2.5%,观察组为15%,两组差异具有统计学意义,P0.05。结论超声引导下神经阻滞复合喉罩全麻在胫骨骨折手术中运用可以有效保持生命体征稳定,麻醉镇痛效果佳,术后苏醒恢复快,麻醉效果与安全性高。
[Abstract]:Objective to investigate the effect of ultrasound-guided nerve block combined with laryngeal mask general anesthesia in the operation of tibial fracture. Methods from May 2014 to November 2015, 80 patients with tibial fractures treated in our hospital were divided into control group (n = 40) and observation group (n = 40). The patients in the observation group were treated with nerve block combined with laryngeal mask anesthesia under the guidance of ultrasound to analyze the difference of anaesthesia related indexes between the two groups. Results the VAS score of the observation group (1.8 卤0.3) was significantly lower than that of the control group (4.0 卤0.4) at half hour after extubation, and the difference between the two groups was statistically significant (P 0.05). The arterial pressure index after anesthesia in the control group was lower than that in the control group, and the difference between the two groups was statistically significant (P 0.05). The arousal time and extubation time in the observation group were earlier than those in the control group, the difference between the two groups was statistically significant (P 0.05). The incidence of postoperative complications in the control group was 2.5 and that in the observation group was 15. The difference between the two groups was statistically significant (P 0.05). Conclusion Ultrasound-guided nerve block combined with laryngeal mask general anesthesia can effectively maintain the stability of vital signs and analgesia, recover quickly after operation, and have high anesthetic effect and safety.
【作者单位】：佛山市南海区人民医院;
【分类号】：R614

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