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腰骶丛神经阻滞联合丙泊酚靶控输注在髋关节手术中应用

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目的:研究腰骶丛神经阻滞联合丙泊酚靶控输注在髋关节手术中效果。方法:选取 2022。06~20224。06本院收治 70 例髋关节手术分为观察组、对照组,n=35。对照组以丙泊酚靶控输注,腰骶丛神经阻滞联合丙泊酚靶控输注。结果:观察组在术中MAP、HR低于对照组,SpO2 高于对照组(P<0。05)。观察组VAS低于对照组,Ramsay镇静评分、MMSE高于对照组(P<0。05)。观察组血清应激反应指标均低于对照组(P<0。05)。观察组术后 24h炎症因子低于对照组(P<0。05)。结论:腰骶丛神经阻滞联合丙泊酚靶控输注在髋关节手术患者中的应用效果良好。
Application of ultrasound-guided lumbar sacral plexus block combined with propofol target controlled infusion in patients undergoing hip joint surgery
Objective:To investigate the effect of lumbar sacral plexus block combined with propofol target controlled infusion in hip joint surgery.Method:70 cases of hip joint surgery admitted to our hospital from June 2022 to April 2022 were divided into an observation group and a control group,with n=35.The control group received target controlled infusion of propofol,while the observation group received lumbar sacral plexus block anesthesia.Result:The observation group had lower intraoperative MAP and HR than the control group,and higher SpO2 than the control group(P<0.05).The group observation VAS was lower than control group,while the sedation Ramsay score and MMSE were higher than those of the control group(P<0.05).The response serum stress indicators in group the observation were lower than those in the control group(P<0.05).The inflammatory factors in the observation group were lower than those in the control group 24 hours after surgery(P<0.05).Conclusion:The combination of lumbar sacral plexus block and propofol target controlled infusion has shown good efficacy in patients undergoing hip surgery.

Hip joint surgeryUltrasound guidanceLumbar sacral plexus blockPropofol target controlled infusionApplication effect

刘少靖、郭云秀

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上海健康医学院附属崇明医院 202150

髋关节手术 超声引导 腰骶丛神经阻滞 丙泊酚靶控输注 应用效果

2024

现代科学仪器
中国分析测试协会

现代科学仪器

CSTPCD
影响因子:0.329
ISSN:1003-8892
年,卷(期):2024.41(6)