摘要
目的对糖尿病足患者采取超声引导腘窝处坐骨神经联合隐神经阻滞,观察实际麻醉效果。方法对2020年5月—2021年5月间光泽县医院收治的86例糖尿病足手术患者进行回顾性分析,根据麻醉方案的不同分为研究组(n=46)与对照组(n=40)。对照组采取常规硬膜外麻醉,研究组采取超声引导腘窝处坐骨神经联合隐神经阻滞。对比两组患者感觉神经阻滞起效时间、维持时间及运动神经阻滞起效时间、维持时间,术后VAS评分及不良反应发生率。结果两组感觉神经阻滞及运动神经阻滞起效时间对比,差异无统计学意义(P>0.05)。研究组感觉神经阻滞及运动神经阻滞维持时间均长于对照组,差异有统计学意义(P<0.05)。研究组术后6 h、12 h VAS评分均低于对照组,差异有统计学意义(P<0.05)。研究组不良反应发生率(8.70%)明显低于对照组(32.50%),差异有统计学意义(P<0.05)。结论超声引导腘窝处坐骨神经联合隐神经阻滞在糖尿病足手术过程中可发挥较好的麻醉效果,维持时间较长,能够缓解术后疼痛症状,且不良反应较少。
Objective To adopt ultrasound-guided sciatic nerve at popliteal fossa combined with saphenous nerve block in patients with diabetic foot and observe the actual anesthetic effect.Methods A retrospective analysis was performed on 86 patients admitted to the Guangze County Hospital for diabetic foot surgery between May 2020 and May 2021.The patients were divided into a study group(n=46)and a control group(n=40)according to the anesthesia protocol.The control group was given conventional epidural anesthesia,and the study group was given ultrasound-guided sciatic nerve combined with saphenous nerve block at the popliteal fossa.The onset and maintenance time of sensory nerve block and the onset and maintenance time of motor nerve block,the postoperative VAS score and the incidence of adverse reactions were compared between the two groups.Results There was no statistically significant difference in the onset of sensory nerve block and motor nerve block between the two groups(P>0.05).In the study group,both sensory nerve block and motor nerve block were maintained for a longer time than the control group,and the difference was statistically significant(P<0.05).The VAS scores at 6 h and 12 h after surgery were lower in the study group than in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the study group(8.70%)was significantly lower than that in the control group(32.50%),and the difference was statistically significant(P<0.05).Conclusion Ultrasound-guided sciatic nerve at popliteal fossa combined with saphenous nerve block can play a better anesthetic effect during diabetic foot surgery,with a longer maintenance time,and can relieve postoperative pain symptoms with fewer adverse reactions.
作者
尹鹭华
YIN Luhua(Department of Anesthesia,Guangze County Hospital,Nanping,Fujian Province,354100 China)
出处
《糖尿病新世界》
2022年第20期175-178,共4页
Diabetes New World Magazine
关键词
超声引导
神经阻滞麻醉
糖尿病足
坐骨神经
隐神经
Ultrasound guidance
Nerve block anesthesia
Diabetic foot
Sciatic nerve
Saphenous nerve
作者简介
尹鹭华(1970-),男,本科,主任医师,研究方向为临床麻醉。
