中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
30期
59-60,64
,共3页
B超引导%盲探%股神经阻滞%镇痛效果%膝关节手术
B超引導%盲探%股神經阻滯%鎮痛效果%膝關節手術
B초인도%맹탐%고신경조체%진통효과%슬관절수술
Ultrasound guidance%Blind exploration%Femoral nerve block%Analgesic effect%Knee joint surgery
目的：探讨B超引导下进行股神经阻滞的临床效果。方法选取2013年6月~2015年3月在本院进行膝关节手术的60例患者作为研究对象，随机分为对照组和观察组，各30例。对照组采用盲探法进行股神经阻滞麻醉，观察组在B超引导下进行股神经阻滞麻醉。比较两组手术后的镇痛效果、局部麻醉药物用量及术后并发症发生率。结果观察组的VAS评分显著低于对照组，差异有统计学意义(P<0.05)。观察组手术过程中局部麻醉药物0.5%罗哌卡因的用量明显少于对照组，差异有统计学意义(P<0.05)。观察组的血管损伤、神经损伤发生率显著低于对照组，差异有统计学意义(P<0.05)。结论在B超引导下对膝关节手术患者进行股神经阻滞可提高镇痛效果，减轻患者痛苦，降低并发症发生率，值得临床推广应用。
目的：探討B超引導下進行股神經阻滯的臨床效果。方法選取2013年6月~2015年3月在本院進行膝關節手術的60例患者作為研究對象，隨機分為對照組和觀察組，各30例。對照組採用盲探法進行股神經阻滯痳醉，觀察組在B超引導下進行股神經阻滯痳醉。比較兩組手術後的鎮痛效果、跼部痳醉藥物用量及術後併髮癥髮生率。結果觀察組的VAS評分顯著低于對照組，差異有統計學意義(P<0.05)。觀察組手術過程中跼部痳醉藥物0.5%囉哌卡因的用量明顯少于對照組，差異有統計學意義(P<0.05)。觀察組的血管損傷、神經損傷髮生率顯著低于對照組，差異有統計學意義(P<0.05)。結論在B超引導下對膝關節手術患者進行股神經阻滯可提高鎮痛效果，減輕患者痛苦，降低併髮癥髮生率，值得臨床推廣應用。
목적：탐토B초인도하진행고신경조체적림상효과。방법선취2013년6월~2015년3월재본원진행슬관절수술적60례환자작위연구대상，수궤분위대조조화관찰조，각30례。대조조채용맹탐법진행고신경조체마취，관찰조재B초인도하진행고신경조체마취。비교량조수술후적진통효과、국부마취약물용량급술후병발증발생솔。결과관찰조적VAS평분현저저우대조조，차이유통계학의의(P<0.05)。관찰조수술과정중국부마취약물0.5%라고잡인적용량명현소우대조조，차이유통계학의의(P<0.05)。관찰조적혈관손상、신경손상발생솔현저저우대조조，차이유통계학의의(P<0.05)。결론재B초인도하대슬관절수술환자진행고신경조체가제고진통효과，감경환자통고，강저병발증발생솔，치득림상추엄응용。
Objective To explore the clinical effect of femoral nerve block under B ultrasound guidance. Methods 60 patients with knee joint surgery from June 2013 to March 2015 in our hospital were selected and randomly divided into the control group and the observation group,30 patients in each group.The control group was given blind exploration method for femoral nerve block,the observation group was given femoral nerve block under B ultrasound guidance.The analgesic effect,local anesthetic drug dosage and the incidence rate of complication was compared in two groups. Re-sults The VAS score of the observation group was lower than that in the control group,with significant difference (P<0.05).The local anesthetic drug dosage of 0.5% ropivacaine in operation process of the observation group was less than that in the control group,with significant difference (P<0.05).The incidence rate of vascular injury and nerve injury in the observation group was lower than that in the control group,with significant difference (P<0.05). Conclusion Under the guidance of B ultrasound,femoral nerve block can improve the analgesic effect of the patients with knee joint surgery,alleviate the pain of patients,reduce the incidence rate of complication,it is worthy of clinical promotion and ap-plication.
