超声引导下神经阻滞麻醉在股骨颈骨折术中的效果分析  

Effect Analysis of Ultrasound-Guided Nerve Block Anesthesia in Femoral Neck Fracture Surgery

作　　者：徐长贵 王卉[2] 赵凤 王靖华 Xu Chang-gui;Wang Hui;Zhao Feng;Wang Jing-hua(Wuzhong District Yinshan Lake Hospital of Suzhou City,Suzhou 215128,Jiangsu Province,China;Department of Anesthesiology,Suzhou Municipal Hospital,Suzhou 215100,Jiangsu Province,China)

机构地区：[1]苏州市吴中区尹山湖医院,江苏苏州215128 [2]苏州市立医院本部麻醉科,江苏苏州215100

出　　处：《中国社区医师》2022年第28期64-66,共3页Chinese Community Doctors

摘　　要：目的:分析超声引导下神经阻滞麻醉在股骨颈骨折术中的效果。方法:选取2019年4月-2022年4月行股骨颈骨折手术患者96例为观察对象,根据计算机1:1随机数列法分为对照组与观察组,各48例。对照组给予全身麻醉,观察组给予超声引导下神经阻滞麻醉,比较两组患者镇痛情况、阻滞情况、不良反应发生率、血流动力学指标。结果:术后6、12、24、48 h,观察组机械疼痛阈值高于对照组,差异有统计学意义(P<0.05);观察组感觉及运动神经阻滞起效短于对照组,阻滞维持时间长于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05);麻醉后30 min时,两组患者心率及平均动脉压高于麻醉前,但观察组低于对照组,差异有统计学意义(P<0.05);麻醉后60 min、术毕即刻,两组心率及动脉压较麻醉前时逐渐降低,观察组低于对照组,差异有统计学意义(P<0.05)。结论:针对股骨颈骨折手术患者应用神经阻滞麻醉方式,能够缩短麻醉起效时间,延长阻滞时间,减少术中麻醉药物用量,改善血流动力学指标,应用较为安全。Objective: To analyze the effect of ultrasound-guided nerve block anesthesia in femoral neck fracture surgery.Methods: A total of 96 patients with femoral neck fracture who underwent surgery from April 2019 to April 2022 were selected asthe observation subjects, and the patients were divided into control group and observation group according to 1:1 random numberseries distribution on computer, with 48 cases in each group. The control group was given general anesthesia and the observationgroup was given ultrasound-guided nerve block anesthesia. The analgesia, blockade, incidence of adverse reactions andhemodynamic indicators of the two groups were compared. Results: The mechanical pain thresholds of the observation group at6 h, 12 h, 24 h and 48 h after operation were higher than those of the control group, and the differences were statisticallysignificant(P<0.05). The onset of sensory and motor nerve block in the observation group was shorter than that in the controlgroup, and the duration of block was longer than that in the control group, and the differences were statistically significant(P<0.05). The incidence of adverse reactions in the observation group was lower than that in the control group, and the difference wasstatistically significant(P<0.05). At 30 minutes after anesthesia, the heart rate and mean arterial pressure of the two groups werehigher than those before anesthesia, but the observation group was lower than the control group, and the difference was statisticallysignificant(P<0.05). At 60 minutes after anesthesia and immediately after surgery, the heart rate and arterial pressure of the twogroups gradually decreased compared with those before anesthesia, and the observation group was lower than the control group,with a statistically significant difference(P<0.05). Conclusion: For patients with femoral neck fracture surgery, the application ofnerve block anesthesia can shorten the onset time of anesthesia, prolong the block time, reduce the amount of intraoperativeanesthesia drugs, improve hemody

关 键 词：神经阻滞 股骨颈骨折 舒芬太尼 丙泊酚 

分 类 号：R614[医药卫生—麻醉学]