全身麻醉复合股神经阻滞镇痛在膝关节镜前叉手术中的应用分析  

Application of General Anesthesia Combined with Femoral Nerve Block and Analgesia in Arthroscopic Anterior Fork Surgery of Knee Joint

作　　者：陈小龙 韦松里 CHEN Xiaolong;WEI Songli(Department of Anesthesiology,International Zhuang Medical Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning,Guangxi Zhuang Autonomous Region,530200 China)

机构地区：[1]广西中医药大学附属国际壮医医院麻醉科,广西南宁530200

出　　处：《系统医学》2024年第5期68-71,共4页Systems Medicine

摘　　要：目的围绕行膝关节镜前叉手术患者,采用全身麻醉复合股神经阻滞(Femoral Nerve Block,FNB)镇痛,回顾性分析其临床效果。方法回顾性选取2022年4—12月在广西中医药大学附属国际壮医医院实施膝关节镜前叉手术的42例患者的临床资料,以麻醉方式不同将其分成两组,对照组29例单纯实施全身麻醉,观察组13例基于此复合FNB,对比两组各时段的血流动力学指标[平均动脉压(Mean Arterial Pressure,MAP)与心率]、不同时间段(术前及术后1、2、3、出院前)的疼痛评分[视觉模拟评分(Visual Analogue Scale,VAS)]。结果观察组T_(2)~T_(5)时的MAP均低于对照组,差异有统计学意义(t=2.167、2.382、2.703、2.145,P均<0.05),心率均高于对照组,差异有统计学意义(t=2.036、2.027、2.323、2.054,P均<0.05)。观察组术后1、2、3 d的VAS评分(2.12±0.60)分、(1.85±0.41)分、(1.15±0.30)分均较对照组(2.69±0.85)分、(2.25±0.65)分、(1.98±0.45)分低,差异有统计学意义(t=2.180、2.037、6.053,P均<0.05)。结论在膝关节镜前叉手术中,通过实施全身麻醉复合FNB,能稳定患者的血流动力学,并减轻其术后疼痛。Objective To retrospectively analyze the analgesic effect of general anesthesia combined with femoral nerve block(FNB)in patients undergoing arthroscopic anterior fork surgery.Methods The clinical data of 42 patients undergoing arthroscopic anterior fork surgery in International Zhuang Medical Hospital Affiliated to Guangxi Univer⁃sity of Traditional Chinese Medicine from April to December 2022 were retrospectively selected,and they were di⁃vided into two groups according to different anesthesia methods.Twenty-nine cases in the control group received gen⁃eral anesthesia alone,and thirteen cases in the observation group were combined with FNB based on this.The hemody⁃namic index[mean arterial pressure(MAP)and heart rate]and the pain score[visual analogue scale(VAS)]of the two groups at different time periods(preoperative and postoperative 1,2,3,and before discharge)were compared.Results MAP of the observation group at T_(2) to T_(5) was lower than that of the control group,and the differences were statistically significant(t=2.167,2.382,2.703,2.145,all P<0.05).Heart rate was higher than control group,the differences were statistically significant(t=2.036,2.027,2.323,2.054,all P<0.05).The VAS scores(2.12±0.60)points,(1.85±0.41)points,(1.15±0.30)points of the observation group at 1,2 and 3 days after operation were lower than those of the con⁃trol group(2.69±0.85)points,(2.25±0.65)points,(1.98±0.45)points,and the differences were statistically significant(t=2.180,2.037,6.053,all P<0.05).Conclusion In knee arthroscopic fork surgery,general anesthesia combined with FNB can stabilize the patient's hemodynamics and reduce the postoperative pain.

关 键 词：膝关节镜前叉手术 全身麻醉 股神经阻滞 镇痛 

分 类 号：R614[医药卫生—麻醉学]