超声引导联合神经刺激仪行外周神经阻滞麻醉对四肢创面修复手术老年患者的应用效果  

Application of ultrasound-guided peripheral nerve blockanesthesia combined with neurostimulator in elderly patientsundergoing limb wound repair surgery

作　　者：谢东进 刘景铠 柳碧霞 XIE DongJin;LIU Jingkai;LIU Bixia(Department of Anesthesiology,Fuzhou Second Hospital,Fuzhou,Fujian,350007,China)

机构地区：[1]福州市第二医院麻醉科,福建福州350007

出　　处：《当代医学》2023年第11期17-20,共4页Contemporary Medicine

摘　　要：目的探讨超声引导联合神经刺激仪行外周神经阻滞麻醉对四肢创面修复手术老年患者的应用效果。方法选取2020年1月至2021年5月于本院接受四肢创面修复手术的60例老年患者作为研究对象,其中上肢患者、下肢患者各30例。上肢患者按照治疗方法不同分为对照1组和联合1组,每组15例,对照1组应用神经刺激仪引导麻醉,联合1组采用神经刺激仪联合超声引导行外周神经阻滞麻醉;下肢患者按照治疗方法不同分为对照2组和联合2组,每组15例。对照2组应用神经刺激仪引导麻醉,联合2组采用神经刺激仪联合超声引导行外周神经阻滞麻醉。比较对照1组与联合1组及对照2组与联合2组麻醉指标、麻醉效果和安全性。结果对照1组与联合1组及对照2组与联合2组镇痛持续时间比较差异均无统计学意义;联合1组阻滞起效时间、阻滞完成时间均短于对照1组,联合2组阻滞起效时间、阻滞完成时间均短于对照2组,差异有统计学意义(P<0.05)。对照1组与联合1组及对照2组与联合2组优良率比较差异均无统计学意义。对照1组与联合1组及对照2组与联合2组不良反应发生率比较差异均无统计学意义。结论在老年患者四肢创面修复手术中,应用超声引导联合神经刺激仪行外周神经阻滞麻醉能有效缩短患者阻滞完成时间和起效时间,见效更快,且能保证良好的麻醉效果和安全性,值得临床推广应用。Objective To investigate the effect of ultrasound-guided peripheral nerve block anesthesia combined with neurostimulator on elderly patients undergoing limb wound repair surgery.Methods Sixty elderly patients who received wound repair surgery on limbs in our hospital from January 2020 to May 2021 were selected as the study subjects,among them,there were 30 patients with upper limb and 30 patients with lower limb.The upper limb patients were divided into control group 1 and combined group 1 according to different treatment methods,with 15 cases in each group.The control group 1 was treated with nerve stimulator guided anesthesia,and the combined group 1 was treated with nerve stimulator combined with ultrasound-guided peripheral nerve block anesthesia.The lower limbs patients were divided into control group 2 and combined group 2 according to different treatment methods,with 15 cases in each group.The control group 2 was treated with nerve stimulator guided anesthesia,and the combined group 2 was treated with nerve stimulator combined with ultrasound-guided peripheral nerve block anesthesia.The anesthetic indexes,anesthetic effects and safety of control group 1 and combination group 1 and control group 2 and combined group 2 were compared.Results There was no statistically significant difference in the duration of analgesia between control group 1 and combined group 1 and between control group 2 and combined group 2.The onset time and completion time of block in combined group 1 were shorter than those in control group 1,and the onset time and completion time of block in combined group 2 were shorter than those in control group 2,the differences were statistically significant(P<0.05).There was no significant difference between control group 1 and combined group 1 and between control group 2 and combined group 2.There was no significant difference in the incidence of adverse reactions between control group 1 and combined group 1,and between control group 2 and combined group 2.Conclusion Ultrasound-guided periphera

关 键 词：四肢创面修复手术 老年患者 神经刺激仪 超声引导 外周神经阻滞麻醉 

分 类 号：R614[医药卫生—麻醉学]