Objective To explore the application effect of ultrasound-guided femoral nerve and sciatic nerve block in anesthesia for calcaneal fracture surgery.Methods A total of 80 patients who underwent surgical treatment for calcaneal fractures admitted to Wushan County People's Hospital of Chongqing from February 2022 to February 2024 were selected as the study subjects and divided into two groups according to different an-esthesia methods,with 40 cases in each group.The observation group received ultrasound-guided femoral nerve and sciatic nerve block during surgical anesthesia.The control group received spinal anesthesia during surgery.The levels of stress response,coagulation function and hemodynamic indexes were compared between the two groups.Results Before the surgery,cortisol,epinephrine,activated partial thromboplatin time(APTT),pro-thrombin time(PT)and thrombin time(TT)levels in two groups were compared,and the differences were not sta-tistically significant(all P＞0.05).At 1 h after operation,cortisol and epinephrine in the observation group were significantly lower than those in the control group,and the differences were statistically significant(both P＜0.05).APTT[(24.13±3.55)s,PT(12.93±1.77)s and TT(17.58±2.11)s]in observation group were significantly higher than those in control group[APTT(22.34±3.25)s,PT(11.77±1.72)s and TT(14.86±2.56)s],the differ-ences were statistically significant(t=2.352,2.973,5.185,all P＜0.05).Pulse oxygen saturation(SpO2),mean ar-terial pressure(MAP)and heart rate(HR)levels were compared between the two groups before and 5 min after anesthesia,and the differences were not statistically significant(all P＞0.05).At 10,15 and 30 min after anesthe-sia,SpO2 was higher,and MAP and HR were lower in observation group compared with control group,and the differences were statistically significant(all P＜0.05).Conclusion Ultrasound-guided femoral nerve and sciatic nerve block anesthesia has a significant effect,high safety,and minimal stress response in patients undergoing surgical treatment for calcaneal fractures.
关键词
超声引导下股神经阻滞/超声引导下坐骨神经阻滞/跟骨骨折手术
Key words
Ultrasound-guided femoral nerve block/Ultrasound guided sciatic nerve block/Calcaneal fracture surgery
维普
万方数据