超声引导下神经阻滞麻醉在股骨颈骨折患者中的应用价值  

Application value of ultrasound-guided nerve blocking anesthesia in patients with transcervical fracture

作　　者：包楚肖 杨艳艳[2] BAO Chu-xiao;YANG Yan-yan(Anesthesiology Department,the People's Hospital of Sihong County,Suqian 223900,China;Clinical Laboratory Department,the People's Hospital of Sihong County,Suqian 223900,China)

机构地区：[1]江苏省泗洪县人民医院麻醉科,江苏宿迁223900 [2]江苏省泗洪县人民医院检验科,江苏宿迁223900

出　　处：《临床医学研究与实践》2019年第9期91-93,共3页Clinical Research and Practice

摘　　要：目的分析超声引导下神经阻滞麻醉在股骨颈骨折患者中的应用价值。方法选择2016年7月至2018年7月我院收治的股骨颈骨折患者86例为研究对象,随机分为对照组(43例)和观察组(43例)。对照组行静脉吸入复合麻醉,观察组行超声引导下神经阻滞麻醉。对比两组镇痛效果、不同时间点HR、DBP、SBP变化情况及阻滞情况。结果观察组术后6、12、24、48 h的机械痛阈值均高于对照组(P<0.05);观察组麻醉后5、10、20、30、60 min的HR、SBP、DBP与麻醉前比较,差异均无统计学意义(P>0.05),观察组各时间点HR、SBP、DBP波动幅度均小于对照组;观察组感觉阻滞起效时间短于对照组,感觉阻滞维持时间、运动阻滞起效时间及运动阻滞维持时间均长于对照组,差异具有统计学意义(P<0.05)。结论超声引导下神经阻滞麻醉在股骨颈骨折患者中的应用效果显著,患者生命体征平稳,阻滞效果良好,值得推广。Objective To analyze the application value of ultrasound-guided nerve blocking anesthesia in patients with transcervical fracture.Methods A total of 86 patients with transcervical fracture admitted in our hospital from July 2016 to July 2018 were selected as study objects and randomly divided into control group(43 cases)and observation group(43 cases).The control group received intravenous inhalation combined anesthesia,and the observation group received ultrasound-guided nerve blocking anesthesia.The analgesic effect,changes of HR,DBP and SBP at different time points and block condition were compared between the two groups.Results The mechanical pain threshold of the observation group were higher than those of the control group at 6,12,24 and 48 h after operation(P<0.05).There were no significant differences in the HR,SBP,DBP at 5,10,20,30 and 60 min after anesthesia in the observation group compared with those before anesthesia(P>0.05),and the fluctuation ranges of HR,SBP and DBP in the observation group were all smaller than those in the control group.The onset time of sensory block in the observation group was shorter than that in the control group,the maintenance time of sensory block,the onset time of motor block and the maintenance time of motor block were longer than those of the control group,the differences were statistically significant(P<0.05).Conclusion Ultrasound-guided nerve block anesthesia for patients with transcervical fracure has a remarkable effect,stable of patient's vital signs and good blocking effect,which is worth popularizing.

关 键 词：股骨颈骨折 超声引导 神经阻滞麻醉 

分 类 号：R614[医药卫生—麻醉学]