神经刺激器定位下胫神经阻滞的临床应用  

Clinical application of tibial nerve block anesthesia with the location help of peripheral nerve stimulator

作　　者：李中华[1] 李奇志[1] 张涛[1] 

机构地区：[1]沈阳市第一人民医院骨科,辽宁沈阳110041

出　　处：《中国医药导报》2011年第4期53-54,共2页China Medical Herald

摘　　要：目的:研究在外周神经刺激器定位下胫神经阻滞麻醉在足底部手术的临床应用。方法:选取择期行足底部手术的患者46例,随机分成两组,一组为神经刺激器定位下行胫神经阻滞麻醉(NS组,n=23),另一组为盲探式操作行胫神经阻滞麻醉(BE组,n=23)。注入麻醉药后观察并记录患者的麻醉起效时间、麻醉效果及不良反应,并将记录结果进行统计学分析。结果:NS组麻醉成功率为100.0%,BE组麻醉成功率为65.2%,两组比较,差异有统计学意义(P<0.05)。麻醉起效时间NS组[(2.04±0.66)min]与BE组[(7.13±1.12)min]比较,差异有统计学意义(P<0.05)。NS组无不良反应发生,BE组有部分患者改为椎管内麻醉后发生尿潴留、头痛等并发症。结论:神经刺激器用于胫神经阻滞的麻醉效果确切,成功率高,并发症少,能很好地应用于足底部的手术中。Objective： To investigate the application of tibial nerve block anesthesia with the location help of peripheral nerve stimulator in operation on the sole of foot.Methods： 46 patients who would get selective operation on the sole of foot were randomly assigned into the two groups.Tibial nerve block anesthesia in one group were used with the location help of peripheral nerve stimulator（NS group,n=23）,and in the other group with blind exploration（BE group,n=23）.The onset time,anesthetic effect and adverse effects were observed and recorded after the injection of anesthetics.The data were used for statistical analysis.Results： The anesthetic successful ratio in NS group was 100.0%,and in BE group was 65.2%,the difference between the two groups was significant（P0.05）.The onset time in NS and NE group were（2.04±0.66） min and（7.13±1.12） min respectively.The difference was also significant（P0.05）.No adverse effects occurred in NS group.In BE group,some adverse effects such as urine retention and headache were observed after surgery.Conclusion： The tibial nerve block anesthesia with the location help of peripheral nerve stimulator has good anesthetic effect,high successful ratio and less complication.The anesthetic process is fit for the operation on the sole of foot.

关 键 词：周围神经刺激器 胫神经 麻醉 

分 类 号：R614.4[医药卫生—麻醉学]