超声引导下隐神经阻滞在大隐静脉剥脱术中的效果观察  

Effect observation of ultrasonic-guided saphenous nerve block in great saphenous vein exfoliation

作　　者：张文婷[1] 袁婉秋[1] ZHANG Wen-ting;YUAN Wan-qiu(Department of Anesthesiology,People′s Hospital of Pingxiang City,Jiangxi Province,Pingxiang337000,China)

机构地区：[1]江西省萍乡市人民医院麻醉科,江西萍乡337000

出　　处：《中国当代医药》2021年第21期149-151,155,共4页China Modern Medicine

基　　金：江西省萍乡市科技计划项目(2018PY009)。

摘　　要：目的探讨超声引导下隐神经阻滞在大隐静脉剥脱术中的效果。方法选取2019年3月—2020年5月萍乡市人民医院收治的行大隐静脉剥脱术治疗的60例下肢静脉曲张患者作为研究对象,根据随机数字表法将其分为对照组与研究组,每组各30例。对照组患者接受喉罩全身麻醉,研究组患者接受超声引导下隐神经阻滞。比较两组患者术前(T_(0))、术时30 min(T_(1))、术时1 h(T_(2))、术后30 min(T_(3))的血流动力学指标平均动脉压(MAP)、心率(HR),采用视觉模拟评分法(VAS)评估患者术后的疼痛程度,并比较两组患者的术后早期下床活动时间。结果T_(0)时两组患者的MAP、HR比较,差异无统计学意义(P>0.05);对照组患者T_(1)、T_(2)、T_(3)的MAP、HR高于T_(0),差异有统计学意义(P<0.05);研究组患者T_(1)、T_(2)、T_(3)的MAP、HR与T_(0)比较,差异无统计学意义(P>0.05);研究组患者T_(1)、T_(2)、T_(3)的MAP、HR低于对照组,差异有统计学意义(P<0.05)。两组患者术后1、48 h的VAS评分比较,差异无统计学意义(P>0.05);研究组患者术后4、8、24 h的VAS评分均低于对照组,差异有统计学意义(P<0.05)。研究组患者的术后早期下床活动时间短于对照组,差异有统计学意义(P<0.05)。结论在大隐静脉剥脱术中应用超声引导下隐神经阻滞,可保持患者术中的血流动力学平稳,且镇痛效果理想,有助于患者早期术后恢复,为一种可靠、有效的麻醉阻滞选择,值得临床开展。Objective To investigate the effect of ultrasound-guided saphenous nerve block in the removal of the great saphenous vein.Methods A total of 60 patients with varicose veins of lower extremities who underwent great saphenous vein stripping in People′s Hospital of Pingxiang City from March 2019 to may 2020 were selected and divided into control group and study group according to double-blind method,with 30 cases in each group.The control group received laryngeal mask general anesthesia and the study group received ultrasound-guided cryptonerve block.Hemodynamic indexes mean arterial pressure(MAP)and heart rate(HR)before surgery(T_(0)),30 min after surgery(T_(1)),1 h after surgery(T_(2))and 30 min after surgery(T_(3))in the two groups were compared.Visual analogue scale(VAS)was used to evaluate the degree of postoperative pain,and the early postoperative time of getting out of bed was compared between the two groups.Results There was no statistically significant difference in MAP and HR between the two groups at T_(0)(P>0.05).The MAP and HR at T_(1),T_(2) and T_(3) in the control group were higher than that of T_(0),and the differences were statistically significant(P<0.05).There were no statistically significant differences in MAP,HR at T_(1),T_(2),T_(3) and T_(0) in the study group(P>0.05).The MAP and HR at T_(1),T_(2) and T_(3) in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).There were no statistically significant differences in VAS score between the two groups at 1 h and 48 h after surgery(P>0.05).VAS scores at 4,8 and 24 h after surgery in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The early postoperative activity time of the study group was shorter than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of ultrasonic-guided saphenous nerve block in the great saphenous vein exfoliation can maintain the pat

关 键 词：大隐静脉剥脱术 超声引导 隐神经阻滞 

分 类 号：R614[医药卫生—麻醉学]