腰丛联合坐骨神经阻滞与腰硬联合麻醉在老年患者股骨骨折手术中疗效比较  

Comparison of the Curative Effect of Combined Lumbar Plexus and Sciatic Nerve Block and Combined Spinal and Epidural Anesthesia in Elderly Patients with Femur Fracture Surgery

作　　者：张晓琛[1] 魏真[1] 潘玢 

机构地区：[1]福建卫生职业技术学院附属医院(福建省级机关医院)麻醉科,福建福州350003

出　　处：《中外医疗》2017年第22期61-63,共3页China & Foreign Medical Treatment

摘　　要：目的比较神经刺激仪定位下腰丛联合坐骨神经阻滞麻醉与腰硬联合麻醉在老年患者股骨骨折手术中麻醉效果。方法该研究将2012年1月—2016年12月收住该院需外科手术的老年股骨颈或粗隆间骨折60例患者,随机分成神经阻滞组30例和腰硬联合麻醉组30例,比较两组患者麻醉后血流动力学指标、药物起效时间、麻醉效果及不良反应。结果麻醉过程中,患者心率、平均动脉压、血氧饱和度NB组较CSEA组平稳(P<0.05),恶心、呕吐、尿潴留等不良反应NB组发生率少于CSEA组(P<0.05),药物起效时间CSEA组优于NB组(P<0.05)。结论神经刺激仪定位下腰丛联合坐骨神经阻滞用于老年患者股骨骨折手术更安全、有效。Objective This paper tries to compare the curative effects of combined lumbar plexus and sciatic nerve block and combined spinal and epidural anesthesia in elderly patients with femur fracture surgery. Methods 60 cases of elderly patients with femoral neck and femoral intertrochanteric fracture received in this hospital from January 2012 to December2016 were selected and randomly divided into two groups, with 30 patients in combined lumbar plexus and sciatic nerve block group, 30 patients in combined spinal and epidural anesthesia groups. The hemodynamic indexes, onset time of drug,anesthetic effects, and adverse effects of the two groups were compared. Results In the process of anesthesia, heart rate,MAP, Sp O2 in NB group were much more stable than the CSEA group（P 0.05）, the incidence of adverse effects such as headache vomit urine retention in NB group were lower than that of the CSEA group（P0.05）, onset time of drug in CSEA group was faster than the NB group（P0.05）. Conclusion Combined lumbar plexus and sciatic nerve block under the guiding of nerve stimulator is a safe and effective method for treating anesthesia of elderly patients.

关 键 词：神经刺激仪 腰丛联合坐骨神经阻滞 腰硬联合麻醉 

分 类 号：R5[医药卫生—内科学]