超声引导下股神经阻滞联合坐骨神经阻滞对全膝关节置换术患者的镇痛效果
Analgesic Effect of Ultrasound-Guided Femoral Nerve Block Combined with Sciatic Nerve Block in Patients with Total Knee Arthroplasty
白霜 1曹军涛 1牛洪章1
作者信息
- 1. 洛阳市东方人民医院麻醉科,河南洛阳 471000
- 折叠
摘要
目的 探讨超声引导下股神经阻滞联合坐骨神经阻滞对全膝关节置换术(TKA)患者的镇痛效果.方法 100 例TKA患者随机分为两组,对照组采取全身麻醉,观察组在对照组基础上行超声引导下股神经阻滞联合坐骨神经阻滞,比较两组的生命体征、镇痛效果及不良反应.结果 观察组切皮时、手术结束时的HR、MAP水平均低于对照组,术后 2 h、6 h、12 h、24 h及 36h的VAS评分均低于对照组(P＜0.05).两组的不良反应总发生率比较,差异无统计学意义(P＞0.05).结论 超声引导下股神经阻滞联合坐骨神经阻滞可稳定TKA患者的生命体征,获得更好的镇痛效果.
Abstract
Objective To explore the analgesic effect of ultrasound-guided femoral nerve block combined with sciatic nerve block in patients with total knee arthroplasty(TKA).Methods 100 patients with TKA were randomly divided into two groups.The control group received general anesthesia,and the observation group received ultrasound-guided femoral nerve block combined with sciatic nerve block on the basis of the control group.The vital signs,analgesic effects and adverse reactions of the two groups were compared.Results The levels of HR and MAP at skin incision and at the end of surgery in the observation group were lower than those in the control group,and the VAS scores at 2 h,6 h,12 h,24 h and 36 h after surgery were lower than those in the control group(P<0.05).No significant difference was found in the total incidence of adverse reactions between the two groups(P>0.05).Conclusions Ultrasound-guided femoral nerve block combined with sciatic nerve block can stabilize the vital signs of TKA patients and obtain better analgesic effect.
关键词
全膝关节置换术/超声引导/股神经阻滞/坐骨神经阻滞/镇痛效果Key words
Total knee arthroplasty/Ultrasound-guidance/Femoral nerve block/Sciatic nerve block/Analgesic effect引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据