超声引导腰丛-坐骨神经阻滞在老年患者单侧下肢手术中的效果分析  

Clinical Effect Analysis on Ultrasound-guided Lumber Plexus-sciatic Nerve Block Treatment in Unilateral Lower-extremity Surgery for Elderly Patients

作　　者：李晓光[1] 付强[1] 郑秀娟[1] 孟春鹏[1] 陆金彪[1] 韩璐[1] 

机构地区：[1]鸡西市人民医院麻醉科,黑龙江鸡西158100

出　　处：《中国卫生标准管理》2017年第11期132-134,共3页China Health Standard Management

摘　　要：目的对超声引导腰丛-坐骨神经阻滞应用于老年患者单侧下肢手术中的临床效果进行分析。方法选取106例2014年1月—2016年12月在我院进行单侧下肢手术治疗的患者,以1:1随机分为对照组(给予常规腰丛-坐骨神经阻滞)和实验组(给予超声引导腰丛-坐骨神经阻滞)各53例,对两组的效果进行对照研究。结果就麻醉效果优良率,实验组高于对照组(90.57%vs.71.70%);就不良情况发生率,实验组低于对照组(7.55%vs.26.42%),P<0.05,组间差异具有统计学意义。结论超声引导腰丛-坐骨神经阻滞应用于老年患者单侧下肢手术中的临床效果十分理想。Objective To analyze the clinical effect of ultrasound-guided lumber plexus-sciatic nerve block treatment in unilateral lower-extremity surgery for elderly patients. Methods 106 patients given unilateral lower- extremity surgery in our hospital from January 2014 to December 2016 were selected and divided into control group （conventional lumber plexus- sciatic nerve block treatment） and study group （ultrasound-guided lumber plexus-sciatic nerve block treatment） according to 1：1 ratio with 53 patients in each group, treatment effects between two groups were compared. Results The anesthesia efficacy of patients in study group was higher than that in control group （90.57% vs.71.70%）, the side-effect in study group much lower than that in control group （7.55% vs,26.42%）, the differences between two groups statistically significant （P 〈 0.05）. Conclusion Ultrasound-guided lumber plexus-sciatic nerve block treatment takes desirable effects in unilateral lower-extremity surgery for elderly patients, which is worthy of promotion.

关 键 词：超声引导 腰丛-坐骨神经阻滞 老年患者 单侧下肢手术 

分 类 号：R614[医药卫生—麻醉学]