糖尿病足截肢术中腰丛联合坐骨神经阻滞术的应用  

Application of Lumbar Plexus Combined with Sciatic Nerve Block in Diabetic Foot Amputation

作　　者：马军 

机构地区：[1]南充市第五人民医院麻醉科,四川南充637000

出　　处：《糖尿病新世界》2017年第11期4-5,共2页Diabetes New World Magazine

摘　　要：目的探讨糖尿病足截肢术中腰丛联合坐骨神经阻滞术的应用。方法选取2016年1月—2017年1月该院收治的糖尿病足截肢患者90例,随机分为对照组和观察组,每组45例,对照组采用手术中常规的麻醉方式,观察组在手术中采用腰丛联合坐骨神经阻滞麻醉,对比分析两组患者在临床中的效果。结果两组患者在麻醉有效率和围手术期麻醉原因所导致的不良反应例数的对比中,观察组优于对照组,两组差异有统计学意义(P<0.05)。结论腰丛联合坐骨神经麻醉法能有效的增加患者麻醉时间,减少患者痛感且对患者的身体伤害较小,手术中围术期循环系统平稳,阻滞影响小,而且有利于手术操作。Objective This paper tries to explore the application of lumbar plexus and sciatic nerve block in diabetic foot amputation surgery. Methods 90 patients with diabetic foot amputation from January 2016 to January 2017 in this hospital were randomly divided into the control group and the observation group, with 45 cases in each group, the control group using conventional anesthesia surgery, the observation group adopting the combined lumbar plexus and sciatic nerve block anesthesia in the operation, the effect of two groups of patients in clinical practice were compared. Results As for the efficiency and adverse reactions of perioperative anesthesia of the two groups of patients, the observation group was better than the control group, differences were statistically significant between the two groups（P〈0.05）. Conclusion The combined lumbar plexus and sciatic nerve block anesthesia can effectively increase the time of anesthesia, reduce the pain and the physical injury of patients, with stable perioperative circulatory system and little influence on the obstruction, which is favorable for the operation.

关 键 词：糖尿病足截肢术 腰丛联合坐骨神经阻滞术 应用 

分 类 号：R587.1[医药卫生—内分泌]