超声引导神经阻滞在老年患者全髋关节置换术中的应用进展  

Application of ultrasound-guided nerve block in total hip arthroplasty in elderly patients

作　　者：郭明玲 钟茂林[2] 陈丽[2] 王冰雨 周建顺 王力峰[2] GUO Ming-ling;ZHONG Mao-lin;CHEN Li;WANG Bing-yu;ZHOU Jian-shun;WANG Li-feng(Gannan Medical University;Department of Anesthesiology,The First Affiliated Hospital of Gannan Medical University;Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医学院,江西赣州341000 [2]赣南医学院第一附属医院麻醉科

出　　处：《赣南医学院学报》2022年第12期1299-1304,共6页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：赣州市科技计划项目(GZ2021ZSF074)。

摘　　要：髋部骨折是老年人最常见的外伤性骨折类型,全髋关节置换术(Total hip arthroplasty,THA)是治疗老年髋部骨折的主要方法。由于老年人合并基础疾病较多,对麻醉和手术的耐受力下降,围术期安全有效的镇痛是髋关节置换术关注的重点。合理有效的镇痛方式及镇痛药物组合也是近年来临床研究的热点。随着可视化设备和技术的发展,超声引导下神经阻滞技术在围术期镇痛中得到广泛的应用。神经阻滞对老年患者生理机能干扰较小,同时可为患者提供良好的围术期镇痛效果,有利于患者术后早期功能锻炼,降低术后并发症的发生率。本文就超声引导下神经阻滞在老年患者THA中的应用研究进展进行综述,旨在为THA的围术期镇痛提供新的思路和参考。Hip fracture is the most common type of traumatic fracture in the elderly. Total hip arthroplasty(THA) is the mainmethod for the treatment of hip fracture in the elderly. Because the elderly suffer from many underlying diseases and have decreased tolerance to anesthesia and surgery, perioperative safe and effective analgesia is the focus of hip replacement.Rational and effective analgesic methods and analgesic drug combinations are also the focus of clinical research in recent years. With the development of visualization equipment and technology, ultrasound-guided nerve block has been widely used in perioperative analgesia. Nerve block has little interference on the physiological function of elderly patients. It can provide good perioperative analgesic effect forpatients, which is conducive to early postoperative functional exercise and reduce the incidence of postoperative complications. This article reviews the research progress of ultrasound-guided nerve block in elderly patients with THA, in order to provide new ideas and reference for perioperative analgesia of THA.

关 键 词：全髋关节置换术 超声引导神经阻滞 老年人 

分 类 号：R614.4[医药卫生—麻醉学]