超声引导下股神经阻滞和腰麻用于髌骨手术的比较  

Comparison of the effects of ultrasound-guided femoral nerve block and lumbar anesthesia on patella operation

作　　者：王尔华[1] 方吉[1] 朱炜[1] 顾小萍[1] 马正良[1] 

机构地区：[1]南京大学医学院附属鼓楼医院麻醉科,江苏南京210008

出　　处：《东南大学学报（医学版）》2010年第5期563-565,共3页Journal of Southeast University(Medical Science Edition)

摘　　要：目的:比较两种麻醉方法对髌骨手术的影响。方法:30例髌骨手术患者分成股神经阻滞组(U组)和腰麻组(L组),分别在超声引导下行股神经阻滞(辅以静脉输注瑞芬太尼)和腰麻。观察局麻药起效时间、痛觉阻滞的效果、并发症及患者满意度。结果:U组患者局麻药起效时间、镇痛时间比L组长,并发症少,满意度高。结论:瑞芬太尼辅助下超声引导股神经阻滞和腰麻都能完成髌骨手术,前者并发症少,患者满意度高,是用于髌骨手术较好的麻醉方法。Objective： tients undergoing patella To compare the effects of two anesthetic methods on patella operations. Methods： 30 paoperation were randomly and equally divided into U and L groups which were given femoral nerve block guided by ultrasound with an intravenous infusion of remifentanil 0.05 -0.10 μg· （kg·min）^-1 and lumbar anesthesia respectively. Then we recorded the onset time of local anesthetics, the time with no pain perception, anaesthetic complications and patients＇ satisfaction degree. Results： Both of the groups fulfilled their operations smoothly. The onset time and painless time in U group were longer than those in L group（ P 〈 0.01 ）, and the patients in U group had less complications and higher satisfaction degree. Conclusion： Compared with usual lum- bar anesthesia, ultrasound guided femoral nerve block with the use of an intravenous infusion of remifentanil 0.05 -0.10 μg·（kg· min）^-1 can also fulfill patella operation smoothly with less complications and higher satisfaction degree. It is a better anaesthesia for patella operation.

关 键 词：超声 神经阻滞 腰麻 瑞芬太尼 股神经 

分 类 号：R614.4[医药卫生—麻醉学]