首页|超声联合神经刺激仪腰骶丛神经阻滞复合小剂量右美托咪定用于老年下肢骨折手术患者的价值评估

超声联合神经刺激仪腰骶丛神经阻滞复合小剂量右美托咪定用于老年下肢骨折手术患者的价值评估

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目的 评估超声联合神经刺激仪腰骶丛神经阻滞复合小剂量右美托咪定用于老年下肢骨折手术患者的价值.方法 选取2019年12月—2022年12月期间宁乡市人民医院麻醉科收治的56例老年下肢骨折手术患者为研究对象,遵循随机数表法分为两组,每组28例.对比组应用腰硬联合阻滞麻醉处理,研究组应用超声联合神经刺激仪腰骶丛神经阻滞复合小剂量右美托咪定处理.对比两组生命体征情况、不良反应发生率.结果 麻醉后,研究组生命体征情况明显好于对比组,差异有统计学意义(P均<0.05).研究组不良反应发生率(3.57%)比对比组(28.57%)低,差异有统计学意义(χ2=6.487,P<0.05).结论 为老年下肢骨折手术患者应用超声联合神经刺激仪腰骶丛神经阻滞复合小剂量右美托咪定处理的效果更高,可稳定患者生命体征,减少不良反应.
Value Assessment of Ultrasound Combined Nerve Stimulator Lumbosacral Plexus Nerve Block Compounded with Small-dose of Dexmedetomidine for Elderly Patients Undergoing Surgery for Lower Extremity Fractures
Objective To assess the value of ultrasound combined nerve stimulator lumbosacral plexus nerve block compounded with small-dose dexmedetomidine for elderly patients undergoing lower extremity fracture surgery.Methods 56 elderly lower extremity fracture surgery patients admitted to the Department of Anesthesiology of Ningx-iang People's Hospital between December 2019 and December 2022 were selected as the subjects of this study.They were evenly grouped by the randomized numerical table method,with 28 cases in each group.The comparison group was treated with combined spinal and epidural block anesthesia,and the study group was treated with ultrasound com-bined nerve stimulator lumbosacral plexus nerve block composite small-dose dexmedetomidine method.The vital signs and the incidence of adverse reactions were compared between the two groups.Results The vital signs of the study group was significantly better than that in the comparison group after anesthesia,and the differences were statis-tically significant(all P<0.05).The incidence rate of adverse reactions in the study group(3.57%)was lower than that in the comparison group(28.57%),and the difference was statistically significant(χ2=6.487,P<0.05).Conclusion For the elderly lower extremity fracture surgery application of ultrasound combined nerve stimulator lumbosacral plexus nerve block composite small-dose dexmedetomidine treatment is more effective,can stabilize the patient's vital signs,reduce the adverse reactions.

Lumbosacral plexus nerve blockRopivacaineDexmedetomidineElderly lower extremity fracture

胡娟、刘卫、彭露瑶

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宁乡市人民医院麻醉科,湖 南宁乡 410600

腰骶丛神经阻滞 罗哌卡因 右美托咪定 老年下肢骨折

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(3)
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