CAJ | 학술논문

目的评价超声引导法和神经刺激仪引导法腰大肌间隙阻滞的麻醉效果。方法选择40例在腰大肌间隙阻滞联合坐骨神经阻滞下行膝关节镜下前交叉韧带修复、异体肌腱移植术的患者,随机分为两组：N组(n=20)采用经典神经刺激仪引导法腰大肌间隙阻滞,U组(n=20)采用超声引导下腰大肌间隙阻滞。分别记录两组麻醉操作时间、穿刺次数、感觉和运动阻滞完善时间及患者满意度。结果两组间麻醉操作时间、感觉和运动阻滞完善时间及患者满意度差异均无显著性,但穿刺次数U组少于N组(P<0.001)。结论使用超声引导可明显减少穿刺次数,但不缩短麻醉操作时间和起效时间。
목적평개초성인도법화신경자격의인도법요대기간극조체적마취효과。방법선택40례재요대기간극조체연합좌골신경조체하행슬관절경하전교차인대수복、이체기건이식술적환자,수궤분위량조：N조(n=20)채용경전신경자격의인도법요대기간극조체,U조(n=20)채용초성인도하요대기간극조체。분별기록량조마취조작시간、천자차수、감각화운동조체완선시간급환자만의도。결과량조간마취조작시간、감각화운동조체완선시간급환자만의도차이균무현저성,단천자차수U조소우N조(P<0.001)。결론사용초성인도가명현감소천자차수,단불축단마취조작시간화기효시간。
Objective To evaluate wheather ultrasound-guided psoas compartment block would increase the success rate and ease of performance with a greater benefit in patients. Method 40 ASA I-II Patients undergoing elective knee arthroscope operations were randomized to two groups:group N( undergoing nerve stimulator guided psoas com-partment block by palpation anatomy landmarks ) or group U ( ultrasound guided psoas compartment block) . Data collected included gender, age, height, weight, number of attempts, clinical effect, procedure time, patient satis-faction, and traumatic puncture. Statistical analysis of data included the Mann-Whitney U test and the Student t test. Result No statistical differences were found on procedure time, clinical effect or patient satisfaction between the two groups, except the number of attempts. Conclusion The use of ultrasound for psoas compartment block can sig-nificantly reduce the number of attempts in patients undergoing elective knee arthroscope operation.