超声引导与神经刺激仪引导在坐骨神经及股神经阻滞中的应用比较研究

发布时间：2019-06-04 21:21

【摘要】：目的:探讨分析超声引导与神经刺激仪引导在坐骨神经及股神经阻滞中的应用效果,以期为神经阻滞临床治疗工作提供理论参考。方法:选择在我院结构神经阻滞麻醉手术的患者94例,所有患者均由我院超声科和麻醉科医师联合开展治疗工作,其手术地点在我院麻醉科。将94例患者进行编号,采用随机抽样的方式,分为两组,对照组患者采用超声引导坐骨神经及股神经阻滞,实验组患者采用神经刺激仪引导坐骨神经及股神经阻滞,对比分析两组患者阻滞成功率、阻滞起效时间以及阻滞质量。结果:对照组患者阻滞成功率为100.00%,实验组患者阻滞成功率为53.10%;对照组患者阻滞起效时间为(11.0±2.5)min,实验组患者阻滞起效时间为(13.5±3.0)min;对照组患者辅助镇痛例数为0例,实验组患者辅助镇痛例数为7例,两组患者各数据之间存在差异,具有统计学意义,P0.05。结论:通过对超声引导与神经刺激仪引导效果的分析,可知在坐骨神经及股神经阻滞引导工作中,超声引导阻滞成功率相对较高,且阻滞起效时间相对较短,患者阻滞质量较优,因此在坐骨神经及股神经阻滞工作中,利用超声引导具有相应的治疗价值。
[Abstract]:Objective: to investigate and analyze the effect of ultrasound guidance and nerve stimulator guidance in nerve block and thigh nerve block, so as to provide theoretical reference for clinical treatment of nerve block. Methods: 94 patients undergoing structural nerve block anesthesia in our hospital were selected. All the patients were treated by ultrasound department and anesthesiologist in our hospital, and the operation place was in anesthesiology department of our hospital. 94 patients were randomly divided into two groups. The control group was guided by ultrasound and the thigh nerve block, while the experimental group was guided by the nerve stimulator. The success rate, onset time and quality of block in the two groups were compared and analyzed. Results: the successful rate of block was 100.00% in the control group, 53.10% in the experimental group, and (11.0 卤2.5) min; in the control group. The onset time of the block in the control group was (11.0 卤2.5) min;. There were 0 cases of auxiliary analgesia in the control group and 7 cases in the experimental group. There was significant difference between the two groups. There was significant difference between the two groups. Conclusion: through the analysis of the effect of ultrasound guidance and nerve stimulator guidance, it can be seen that the success rate of ultrasound guided block is relatively high and the onset time of block is relatively short in the guidance of sciatica and thigh nerve block. The quality of block is better, so ultrasound guidance has corresponding therapeutic value in the work of sciatica and thigh nerve block.
【作者单位】：江苏大学附属澳洋医院(张家港澳洋医院)麻醉科;
【分类号】：R614

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