摘要
目的分析超声引导下股神经阻滞复合全身麻醉在股骨干骨折手术中的应用效果。方法 75例股骨干骨折患者,依据治疗方法不同分为对照组(35例)和研究组(40例)。对照组患者予以单纯全身麻醉,研究组患者予以超声引导下股神经阻滞复合全身麻醉。比较两组生命指标、术后拔管时间、唤醒时间、疼痛评分、穿刺时不良状况发生情况。结果研究组切皮时、复位时、手术后生命指标均显著优于对照组,差异具有统计学意义(P<0.05)。研究组术后拔管时间为(12.02±1.02)min、唤醒时间为(15.02±1.02)min,均短于对照组的(19.02±5.05)、(20.00±1.02)min,差异具有统计学意义(P<0.05)。研究组穿刺时不良状况发生率与对照组比较差异无统计学意义(P>0.05)。研究组患者术后4h视觉模拟评分法(VAS)评分为(3.02±0.50)分、6 h VAS评分为(4.02±1.07)分、12h VAS评分为(4.65±1.30)分,均显著低于对照组的(5.70±1.20)、(7.05±2.30)、(7.30±2.30)分,差异具有统计学意义(P<0.05)。结论将超声引导下股神经阻滞复合全身麻醉应用于股骨干骨折手术中,生命指标比较稳定、术后拔管时间减少、术后疼痛评分降低,可取得显著的临床疗效,值得临床推广。
Objective To analyze the application effect of ultrasound guided femoral nerve block combined with general anesthesia in the operation of femoral shaft fracture. Methods A total of 75 femoral shaft fracture patients were divided by different treatment methods into control group（35 cases） and research group（40 cases）. The control group received general anesthesia, and the research group received ultrasound guided femoral nerve block combined with general anesthesia. Comparison were made on life index, postoperative extubation time, wake-up time pain score, and occurrence of adverse condition during puncture between the two groups. Results The research group had obviously better life index at skin cutting, reduction and after operation than the control group, and the difference was statistically significant（P〈0.05）. The research group had postoperative extubation time as（12.02±1.02） min, wake-up time as（15.02±1.02） min, which were all shorter than（19.02±5.05） and（20.00±1.02） min in the control group, and their difference was statistically significant（P〈0.05）. The research group had no statistically significant difference in incidence of adverse condition during puncture comparing with the control group（P〉0.05）. The research group had obviously lower postoperative 4h visual analogue scale（VAS） score as（3.02±0.50） points, 6h VAS score as（4.02±1.07） points and 12h VAS score as（4.65±1.30） points than（5.70±1.20）,（7.05±2.30） and（7.30±2.30） points in the control group, and their difference was statistically significant（P〈0.05）. Conclusion Application of ultrasound guided femoral nerve block combined with general anesthesia in the operation of femoral shaft fracture shows remarkable clinical efficacy with stable life index, reduced postoperative extubation time and lower postoperative pain score, and it is worthy of clinical promotion.
作者
麦伟良
张敏森
陈荣强
彭慧雄
MAI Wei-liang, ZHANG Min-sen, CHEN Rong-qiang, et al(Department of Anesthesia, Yunfu People＇ s Hospital, Yunfu 527300, Chin)
出处
《中国实用医药》
2018年第10期19-21,共3页
China Practical Medicine
关键词
超声引导
股神经阻滞
全身麻醉
股骨干骨折
Ultrasound guidance
Femoral nerve block
General anesthesia
Femoral shaft fracture
