坐骨神经联合阻滞麻醉和腰硬联合麻醉对于膝关节置换手术生命体征的影响
Effect of sciatic nerve block anesthesia combined with spinal epidural anesthesia on vital signs of knee joint replacement surgery
刘丽娟1
作者信息
- 1. 衢州市第二人民医院 麻醉科,浙江 衢州 324000
- 折叠
摘要
目的 探讨坐骨神经联合阻滞麻醉和腰硬联合麻醉对于膝关节置换手术生命体征的影响.方法 选取2013年8月～2016年8月期间衢州市第二人民医院收治的112例膝关节置换手术患者进行不同麻醉处理,随机分为试验组1和试验组2,每组各56例,试验组1进行坐骨神经联合阻滞麻醉处理,试验组2进行腰硬联合麻醉处理,比较2组患者阻滞后心率、血压等生命体征的变化.结果 麻醉后,试验组1的心率、血压变化等生命体征的变化明显比试验组2的生命体征变化稳定,差异有统计学意义(P<0.05);试验组1患者的不良反应发生率(8.9％)明显低于试验组2(26.8％),差异有统计学意义(P<0.05);但2组患者麻醉前、术后6、24、72 h 简易精神状态评价量表(MMSE)评分对比差异无统计学意义.结论 对膝关节置换手术的患者进行坐骨神经联合阻滞麻醉处理后患者的生命体征变化稳定,而且不良反应少,更适合膝关节置换手术麻醉处理.
Abstract
Objective To investigate the effects of sciatic nerve combined with anesthesia and lumbar spinal combined anesthesia on the vital signs of knee replacement surgery.Methods 112 cases of knee joint replacement surgery with different anesthesia,in The second people's Hospital of Quzhou from August 2013 to August 2015,were selected and randomly divided into experimental group one and experimental group two,56 cases in each group.Experimental group one was treated with sciatic nerve combined with anesthesia,and experimental group two underwent combined spinal-epidural anesthesia,comparison of changes in vital signs,blood pressure and other vital signs after 2 groups.Results After anesthesia,the changes of vital signs such as heart rate and blood pressure of experimental group one was significantly higher than that of experimental group two,the difference was statistically significant(P<0.05).The incidence of adverse events in the experimental group one was significantly lower than that in the experimental group two(26.8％),the difference was statistically significant(P<0.05).The MMSE score in the experimental group one(26.44±0.76)was significantly lower than that of the experimental group two(27.18±0.72),the difference was statistically significant(P<0.05).However,there was no significant difference in MMSE score between the two groups before anesthesia,6 hours,24 hours and 72 hours after operation.Conclusion Patients with knee replacement surgery were treated with sciatic nerve combined with anesthesia after treatment to stabilize the vital signs of patients,and less adverse reactions,more suitable for knee replacement surgery anesthesia treatment.
关键词
膝关节置换手术/生命体征/坐骨神经联合阻滞麻醉/腰硬联合麻醉Key words
knee replacement surgery/vital signs/sciatic nerve block anesthesia/combined spinal and epidural anesthesia引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据