神经刺激仪定位下行腰丛坐骨神经联合阻滞在糖尿病老年患者截肢术中的临床应用被引量：2

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摘要目的比较神经刺激仪定位下的腰丛坐骨神经联合阻滞与腰硬联合阻滞的麻醉方式在糖尿病老年患者截肢术中的应用效果。方法将78例具有截肢指征的糖尿病老年患者分为观察组与对照组,分别予以神经刺激仪定位下的腰丛坐骨神经联合阻滞和腰硬联合阻滞的麻醉方式,观察对比两组患者手术中血流动力学、心率、麻醉起效时间及术后不良反应的差异。结果观察组患者麻醉过程中的SBP、DBP及HR均保持稳定(P>0.05),前后比较差异无统计学意义,对照组麻醉过程中的SBP、DBP及HR较麻醉前降低(P<0.05),差异具有统计学意义。观察组麻醉起效时间较对照组短(P<0.05),不良反应发生情况明显少于对照组,差异具有统计学意义。结论神经刺激仪定位下行腰丛坐骨神经联合阻滞的麻醉方法在糖尿病老年患者的截肢术中较硬膜外阻滞能够发挥更好的麻醉效果且安全有效。

作者孙扬袁文华

机构地区辽宁省本溪市本钢总医院麻醉科

出处《中国医药指南》 2016年第30期94-95,共2页 Guide of China Medicine

关键词神经刺激仪腰丛坐骨神经联合阻滞糖尿病截肢术

分类号 R587.1 [医药卫生—内分泌]

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参考文献2

1肖洁,王祥瑞.腰丛-坐骨神经联合阻滞的临床应用[J].国外医学（麻醉学与复苏分册）,2005,26(2):91-94. 被引量：23
2中华医学会糖尿病学分会.中国2型糖尿病防治指南（2013年版）[J].中国糖尿病杂志,2014,22(8). 被引量：6810

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