Ultrasound-guided Nerve Block Combined with General Anesthesia in Patients with Traumatic Tibiofibular Fractures
Objective:To analyze the effects of ultrasound-guided sciatic-femoral nerve block at the popliteal fossa combined with general anesthesia on hemodynamics and postoperative delirium in patients with traumatic tibiofibular fracture,to explore the effects of its application.Method:The clinical date of 110 patients with traumatic tibiofibular fracture admitted to Leping Hospital of Traditional Chinese Medicine from January 2022 to November 2023 were retrospectively included and divided into control group(45 cases)and observation group(65 cases)according to the anesthesia method adopted during the operation.The control group received general anesthesia induction operation,and the observation group was given ultrasound-guided nerve block combined with general anesthesia.The hemodynamics and postoperative delirium were observed.Result:The time of tracheal extubation and recovery in the observation group were earlier than those in the control group,the dosage of Propofol was significantly lower than that in the control group(P<0.05).Before anesthesia,there were no statistically significant differences in the systolic blood pressure and heart rate of two groups(P>0.05);at the end of anesthesia,the systolic blood pressure and heart rate of the observation group were significantly higher than those of the control group(P<0.05).At 1,2 and 3 days after operation,the postoperative delirium[mini-mental state examination(MMSE)]scores in the obsevation group were higher than those in the control group,and the scores of visual analogue scale(VAS)at rest in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:Ultrasound-guided nerve block combined with general anesthesia can maintain hemodynamic stability in patients with traumatic tibiofibular fracture,reduce the use of opioid analgesics,and reduce the incidence of postoperative delirium in patients with traumatic tibia and fibula fractures.
UltrasoundSciatic-femoral nerveBlock combined general anesthesiaTraumatic tibiofibular fracture
万方数据
维普
