超声引导神经阻滞联合咪达唑仑对胫骨骨折手术患者的麻醉效果
Anesthesia Effect of Ultrasound-Guided Nerve Block Combined with Midazolam in Patients Undergoing Tibial Fracture Surgery
陈建华1
作者信息
- 1. 天津市西青医院骨一科,天津 300380
- 折叠
摘要
目的:探讨超声引导神经阻滞联合咪达唑仑对胫骨骨折手术患者的麻醉效果.方法:选取我院 2018年 10月—2020年 10月我院收治的 164例胫骨骨折手术患者为研究对象,按随机数字表法分为对照组和观察组,各82例.对照组采用超声引导神经阻滞进行麻醉,观察组在对照组基础上增加咪达唑仑进行麻醉.比较 2组呼吸循环指标、应激指标、镇静及疼痛程度、麻醉满意度、并发症发生情况.结果:拔管后 15 min,观察组镇静评分高于对照组,疼痛评分低于对照组,组间差异有统计学意义(P<0.05).观察组麻醉总满意度为95.12%,高于对照组的84.15%,差异有统计学意义(P<0.05).观察组并发症总发生率为 2.50%,低于对照组的 10.98%,差异有统计学意义(P<0.05).结论:胫骨骨折手术患者采用超声引导神经阻滞联合咪达唑仑麻醉效果显著,安全性更高,可有效缓解患者应激反应.
Abstract
Objective:To investigate the anesthetic effect of ultrasound-guided nerve block combined with midazolam on patients undergoing tibial fracture surgery.Methods:164 patients with tibial fracture surgery admitted to the hospital from October 2018 to October 2020 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 82 cases in each group.The control group was anesthetized by ultrasound-guided nerve block,and the observation group was anesthetized by adding midazolam to the control group.Respiratory and circulation indexes,stress indexes,sedation and pain degree,anesthesia satisfaction and complications were compared between the two groups.Results:15 min after extubation,Ramsay score in observation group was higher than control group,Visual Analog Score was lower than control group,and the differences between groups were statistically significant(P<0.05).The total satisfaction of anesthesia in the observation group was 95.12%,higher than 84.15%in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was 2.50%,lower than that in the control group(10.98%),and the difference was statistically significant(P<0.05).Conclusion:The use of ultrasound-guided nerve block combined with midazolam anesthesia in patients undergoing tibial fracture surgery has significant effect and higher safety,and can effectively relieve the stress response of patients.
关键词
胫骨骨折/超声引导神经阻滞/咪达唑仑/去甲肾上腺素/多巴胺Key words
Tibia fracture/Ultrasound-guided nerve block/Midazolam/Noradrenaline/Dopamine引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据