超声引导下股神经阻滞对行股骨手术患者术后镇痛的影响  

Effect of Ultrasound-Guided Femoral Nerve Block on Postoperative Analgesia in Patients Underwent Femoral Surgery

作　　者：漆启荣 黄彦 李娜 QI Qirong;HUANG Yan;LI Na(Department of Anesthesiology,Huidong County People's Hospital,Huizhou 516300,China)

机构地区：[1]惠州市惠东县人民医院麻醉科,广东惠州516300

出　　处：《临床医学工程》2020年第6期689-690,共2页Clinical Medicine & Engineering

基　　金：惠州市科技计划项目(项目编号:190403094570659)。

摘　　要：目的探讨超声引导下股神经阻滞对行股骨手术患者术后镇痛的影响。方法选取60例股骨手术的患者,随机分为三组各20例。手术结束后,对照1组采用静脉自控镇痛,对照2组采用硬膜外自控镇痛,观察组采用超声引导下股神经阻滞进行镇痛。比较三组术后不同时间点的VAS评分,以及镇痛期间的不良事件发生情况。结果观察组术后6 h、 12 h、 24 h、 36 h、48 h的VAS评分均显著低于对照1组和对照2组(P <0.05)。观察组的不良事件发生率显著低于对照1组和对照2组(P <0.05)。结论采用超声引导下股神经阻滞对股骨手术患者进行术后镇痛,能够有效缓解患者疼痛程度,降低不良事件发生率。Objective To explore the effect of ultrasound-guided femoral nerve block on postoperative analgesia in patients underwent femoral surgery.Methods 60 patients with femoral surgery were selected and randomly divided into three groups,with 20 cases in each group.After surgery,the control groupⅠwas given patient-controlled intravenous analgesia,the control groupⅡwas given patient-controlled epidural analgesia,and the observation group was given ultrasound-guided femoral nerve block for analgesia.The VAS scores at different time points after surgery,and the incidence of adverse events during analgesia were compared among the three groups.Results The VAS scores at 6 h,12 h,24 h,36 h and 48 h of the observation group were significantly lower than those of the control groupⅠand the control groupⅡ(P<0.05).The incidence of adverse events of the observation group was significantly lower than that of the control groupⅠand the control groupⅡ(P<0.05).Conclusions The use of ultrasound-guided femoral nerve block for postoperative analgesia in patients with femoral surgery can effectively relieve patients'pain degree and reduce the incidence of adverse events.

关 键 词：超声引导下股神经阻滞 股骨手术 术后镇痛 

分 类 号：R614.4[医药卫生—麻醉学]