腰丛-坐骨神经阻滞术用于股骨颈骨折效果观察  

Effect of Lumbar Plexus Sciatic Nerve Block Surgery for Femoral Neck Fractures

作　　者：孙艳 汪惠文 范家乐 姚浩旗 SUN Yan;WANG Huiwen;FAN Jiale;YAO Haoqi(The 940th Hospital of the Joint Service Support Force of the PLA,Lanzhou,Gansu,China 730050)

机构地区：[1]中国人民解放军联勤保障部队第九四〇医院,甘肃兰州730050

出　　处：《中国药业》2024年第S02期69-71,共3页China Pharmaceuticals

基　　金：甘肃省科技计划项目[21JR11RA007]。

摘　　要：目的探讨腰丛-坐骨神经阻滞术用于股骨颈骨折的临床疗效。方法选取医院2022年7月至2023年6月收治的股骨颈骨折患者80例,随机分为对照组和观察组,各40例。对照组实施全身麻醉,观察组实施腰丛-坐骨神经阻滞麻醉。结果观察组患者腰丛神经及坐骨神经的阻滞持续时间均显著长于对照组,患者的心率与平均动脉压均显著低于对照组(P<0.05);观察组患者的镇痛效果优良率显著高于对照组,不良反应发生率显著低于对照组(P<0.05)。结论与全身麻醉方式比较,在股骨颈骨折手术治疗过程中选择腰丛-坐骨神经阻滞术,麻醉持续时间更长,对患者的血流动力学影响更小,术后镇痛效果更好。Objective To investigate the effect of lumbar plexus sciatic nerve block surgery for femoral neck fractures.Methods A total of 80 patients with femoral neck fractures admitted to the hospital from July 2022 to June 2023 were randomly divided into the control group and the observation group,with 40 cases in each group.The control group received general anesthesia,while the observation group received lumbar plexus sciatic nerve block anesthesia.Results The duration of lumbar plexus and sciatic nerve block in the observation group was significantly longer than that in the control group,and the heart rate and mean arterial pressure were significantly lower than those in the control group(P<0.05);the excellent rate of analgesic effect in the observation group was significantly higher than that in the control group,and the incidence of adverse reactions was significantly lower than that in the control group(P<0.05).Conclusion Compared with general anesthesia,lumbar plexus sciatic nerve block during the surgical treatment of femoral neck fractures has longer anesthesia duration,less impact on patient hemodynamics,and better postoperative analgesic effect.

关 键 词：腰丛-坐骨神经阻滞 全身麻醉 股骨颈骨折 

分 类 号：R683[医药卫生—骨科学]