探讨右美托咪定与髂筋膜腔隙阻滞(FICB)联合麻醉与全身麻醉在老年髌骨骨折手术中的应用效果  

To Explore the Effect of Combined Anesthesia and General Anesthesia with Dexmedetomidine and Iliac Fascial Lacunar Block(FICB)in Elderly Patella Fracture Surgery

作　　者：李婷 LI Ting(Department of anesthesiology,Juye county Peoples hospital,Shandong province 274900)

机构地区：[1]山东省巨野县人民医院麻醉科,山东巨野274900

出　　处：《中国伤残医学》2022年第16期7-11,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：探讨分析老年髌骨骨折手术中选择全身麻醉及右美托咪定与髂筋膜腔隙阻滞(FICB)联合麻醉的应用效果差异。方法:选取本院2020年1月-2020年12月收治的髌骨骨折老年患者70例均接受手术治疗。依据麻醉方案不同进行分组,各35例。对照组实施常规全麻,观察组则选择右美托咪定及FICG联合麻醉,分析不同麻醉方案效果及安全性差异。结果:术前、手术开展20分钟、手术完毕即刻2组患者MAP、HR指标无明显差异(P>0.05) ,观察组患者切皮即刻、手术开展10分钟MAP、HR指标均低于对照组(P<0.05);硝酸甘油使用率2组间比较无统计学差异(P>0.05),观察组多巴胺使用量低于对照组,观察组麻醉药物使用量及镇痛药物追加次数低于对照组(P<0.05);观察组术后3小时、6小时、12小时、24小时疼痛评分均低于对照组(P<0.05),2组术后48小时疼痛评分组间比较无统计学差异(P>0.05);和对照组相比,观察组术后48小时内不良反应发生率较低(P<0.05)。结论:髌骨骨折老年患者选择右美托咪定及FICB联合麻醉方案效果理想,能够确保持续维持患者血流动力学稳定,另外镇痛和镇静效果理想,可降低术后不良反应发生率,具有较高的临床价值,值得推广运用。Objective:To explore and analyze the differences in the effects of general anesthesia and combined anesthesia with dexmedetomidine and iliac fascial cavity block(FICB)in the operation of elderly patellar fractures.Methods:A total of 70 study subjects were included in this study,all of whom were elderly patients with patella fractures admitted to this hospital.The enrollment period was from January 2020 to December 2020.All patients received surgical treatment.Grouped according to different anesthesia schemes,each with 35 cases.The control group received conventional general anesthesia,while the observation group chose dexmedetomidine and FICC combined anesthesia.The effect and safety of different anesthesia schemes are different.Results:There was no significant difference in MA P and HR indexes between the two groups of patients before operation,20 minutes after the operation,and immediately afer the operation( P>0.05).The MA P and HR indexes of the patients in the observation group were lower than those in the control group immediately after skin incision and 10 minutes after the operation( P<0.05)There was no significant difference in the use rate of nitroglycerin between the two groups( P>0.05),the dopamine use in the observation group was lower than that in the control group,and the use of anesthetics and analgesic supplements in the observation group were lower than those in the control group( P<0.05)The pain scores of the observation group at 3h,6h,12h and 24h after operation were lower than those of the control group( P<0.05),and there was no statistical dfference in the pain scores between the two groups at 48h after operation( P>0.05);compared with the control group In the observation group,the incidence of adverse reactions within 48 hours after operation was relatively low( P<0.05).Conclusion:The effect of dexmedetomidine and FICB combined anesthesia for elderly patients with patella fractures is ideal,which can ensure the continuous maintenance of the patient's hemody namic stability.In addition,the a

关 键 词：右美托咪定 髂筋膜腔隙阻滞 全身麻醉 髌骨骨折手术 

分 类 号：R614[医药卫生—麻醉学]