连续隐神经阻滞对老年患者膝关节镜手术后股四头肌肌力的影响
发布时间:2019-04-13 16:05
【摘要】:目的评估连续隐神经阻滞在老年患者膝关节镜手术后镇痛的疗效及其对患侧股四头肌肌力的影响。方法拟在腰-硬联合麻醉下行单侧关节镜膝关节探查清理术的老年骨性关节炎患者90例,ASAⅠ~Ⅲ级,年龄65~83岁。按照随机数字表均分为三组,分别在手术结束后接受48h的连续隐神经阻滞(S组)、连续股神经阻滞(F组)及吗啡PCIA(M组)镇痛治疗。记录术前(T1)及术后6h(T2)、24h(T3)、48h(T4)、72h(T5)患者患侧股四头肌肌力、疼痛VAS评分、舒适度评分,并记录不良反应。结果 T2~T4时S组和M组股四头肌肌力差异无统计学意义,但明显高于F组(P0.01)。S组和F组在T2~T4时疼痛VAS评分均明显低于M组(P0.01),T2~T5时舒适度评分均明显高于M组(P0.01)。M组(9例,30%)的恶心呕吐明显高于S组(1例,3.3%)和F组(2例,6.7%)(P0.01),其它不良反应差异无统计学意义。结论连续隐神经阻滞与连续股神经阻滞术后镇痛效果相当,且连续隐神经阻滞对股四头肌肌力无明显影响,不良反应少。
[Abstract]:Objective To evaluate the effect of continuous saphenous nerve block on the operation of knee arthroscopy in elderly patients and its effect on the muscle strength of quadriceps femoris. Methods 90 cases of senile patients with osteoarthritis, ASA 鈪,
本文编号:2457727
[Abstract]:Objective To evaluate the effect of continuous saphenous nerve block on the operation of knee arthroscopy in elderly patients and its effect on the muscle strength of quadriceps femoris. Methods 90 cases of senile patients with osteoarthritis, ASA 鈪,
本文编号:2457727
本文链接:https://www.wllwen.com/yixuelunwen/mazuiyixuelunwen/2457727.html
最近更新
教材专著