首页|超声引导神经刺激仪辅助腰丛阻滞麻醉在老年髋关节置换术中的应用

超声引导神经刺激仪辅助腰丛阻滞麻醉在老年髋关节置换术中的应用

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目的:在老年髋关节置换术麻醉过程中采取超声引导神经刺激仪辅助腰丛阻滞麻醉,研究其临床应用效果.方法:选择本院2021年1月~2022年12月进行髋关节置换术治疗的60例老年患者,划分为对照组(单纯采取全身麻醉,30例)与观察组(超声引导神经刺激仪辅助腰丛阻滞麻醉,30例),研究分析其麻醉效果.结果:观察组麻醉后15min、麻醉后30min、麻醉后60min节点下平均动脉压均高于对照组(P<0.05);麻醉后15min、麻醉后30min、麻醉后60min、麻醉后90min节点下心率均低于对照组(P<0.05);并发症总发生率明显低于对照组(P<0.05);对镇痛效果的总满意度高于对照组(P<0.05).结论:在老年人髋关节置换术麻醉中采取超声引导神经刺激仪辅助腰丛阻滞麻醉,麻醉应用效果良好,能够保障平均动脉压、心率的稳定性,改善脑氧代谢指标水平、神经因子指标水平,降低并发症总发生率,提高镇痛满意度.
Application of Ultrasound Guided Nerve Stimulator Assisted Lumbar Plexus Block Anesthesia in Elderly Patients Undergoing Hip Replacement
Objective:To investigate the clinical application of ultrasound guided nerve stimulator assisted lumbar plexus block anesthesia in elderly patients undergoing hip replacement surgery.Methods:60 elderly patients undergoing hip replacement surgery in our hospital from January 2021 to December 2022 were selected and divided into a control group(30 patients receiving general anesthesia alone)and an observation group(30 patients receiving ultrasound guided nerve stimulator assisted lumbar plexus block anesthesia).The anesthetic effects were studied and analyzed.Results:The average arterial pressure at nodes 15 minutes,30 minutes,and 60 minutes after anesthesia in the observation group was higher than that in the control group(P<0.05);The heart rate at nodes 15 minutes,30 minutes,60 minutes,and 90 minutes after anesthesia was lower than that of the control group(P<0.05);The total incidence of complications was significantly lower than that of the control group(P<0.05);The overall satisfaction with the analgesic effect was higher in the control group(P<0.05).Conclusion:The use of ultrasound guided nerve stimulator assisted lumbar plexus block anesthesia in elderly patients undergoing hip arthroplasty has a good effect,can ensure the stability of mean arterial pressure and heart rate,improve the level of cerebral oxygen metabolism indicators and nerve factor indicators,reduce the overall incidence of complications,and improve analgesic satisfaction.

nerve stimulatorultrasound guidanceagedhip replacementeffect of anesthesia application

郑舟婷

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铅山县人民医院麻醉科(江西 上饶 334000)

神经刺激仪 超声引导 老年人 髋关节置换术 麻醉应用效果

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(2)
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