经尿道膀胱肿瘤电切术中超声辅助闭孔神经阻滞的作用  

Effect of Ultrasound Assisted Obturator Nerve Block for Transurethral Resection of Bladder Tumors

作　　者：张亚红 王世鹏 王存德 叶君君 聂伟红 ZHANG Yahong;WANG Shipeng;WANG Cunde;YE Junjun;NIE Weihong(Ultrasound Medicine Department,Wuwei Cancer Hospital of Gansu,Wuwei,Gansu 733000)

机构地区：[1]甘肃省武威肿瘤医院超声医学科,甘肃武威733000

出　　处：《智慧健康》2024年第15期72-74,共3页Smart Healthcare

摘　　要：目的探讨超声辅助闭孔神经阻滞在经尿道膀胱肿瘤电切术的应用效果。方法选取2020年1月—2022年12月本院收治的80例经尿道膀胱肿瘤电切术患者为研究对象,并按照掷骰法进行分组,每组40例,对照组行全身麻醉干预,观察组在全麻基础上增加超声辅助闭孔神经阻滞,对比两组患者临床一般指标、血流动力学指标与不良反应发生率。结果观察组临床一般指标、血流动力学指标均优于对照组,组间差异有统计意义(P<0.05);观察组不良反应发生率低于对照组,组间差异有统计意义(P<0.05)。结论对接受经尿道膀胱肿瘤电切术的患者而言,应用超声辅助闭孔神经阻滞技术,在保障患者临床一般指标得到显著改善的同时,能够有效维持血流动力学指标的稳定,并显著降低不良反应的发生率。此技术对于提升手术安全性和患者恢复质量具有积极作用。Objective To explore application effect of ultrasound-assisted obturator nerve block for transurethral resection of bladder tumors.Methods The paper chose 80 patients with transurethral resection of bladder tumors in our hospital from January 2020 t o December 2022,and divided them into two groups with casting dice method,40 cases in each group.Control group was treated with general anesthesia intervention,while observation group with ultrasound assisted obturator nerve block based on general anesthesia.Clinical general indicators,hemodynamic indicators,and incidence of adverse reactions were compared between two groups.Results Clinical general indicators and hemodynamic indicators of observation group were better than control group(P<0.05),incidence of adverse reactions in observation group was lower than control group(P<0.05).Conclusion Ultrasound-assisted obturator nerve block can help improve clinical general indicators,keep hemodynamic indicators stable,and reduce incidence of adverse reactions of patients with transure thral resection of bladder tumors.

关 键 词：经尿道膀胱肿瘤电切术 超声引导 闭孔神经 全身麻醉 

分 类 号：R737.14[医药卫生—肿瘤]