神经刺激仪引导下腰丛联合骶丛神经阻滞麻醉在股骨颈骨折患者中的应用
Application of Nerve Stimulator Guided Lumbar Plexus Combined with Sacral Plexus Block Anesthesia in Patients with Femoral Neck Fracture
刘容1
作者信息
- 1. 桂林市中医医院 广西 桂林 541002
- 折叠
摘要
目的:探讨在股骨颈骨折患者中应用神经刺激仪引导下腰丛联合骶丛神经阻滞麻醉的效果.方法:选取2020年1 月—2023 年 6 月桂林市中医医院收治的 98 例股骨颈骨折患者作为研究对象,按照随机数表法将其分为对照组和研究组,各 49 例.对照组采用传统的腰硬联合麻醉,研究组采用神经刺激仪引导下腰丛联合骶丛神经阻滞麻醉.比较两组麻醉效果、平均动脉压(MAP)、心率(HR)、皮质醇(Cor)和儿茶氨酚(CA)及不良反应.结果:两组麻醉效果比较,差异无统计学意义(P>0.05).研究组麻醉后 15 min(T2)、麻醉后 30 min(T3)时MAP高于对照组,差异有统计学意义(P<0.05);研究组麻醉后 5 min(T1)、T2、T3、手术结束后(T4)时HR高于对照组,差异有统计学意义(P<0.05).研究组术中(Tb)时CA、Cor低于对照组,差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:股骨颈骨折患者应用神经刺激仪引导下腰丛联合骶丛神经阻滞麻醉能稳定血流动力学,缓解应激反应,具有良好的麻醉效果和较高的安全性.
Abstract
Objective:To investigate the effect of nerve stimulator guided lumbar plexus combined with sacral plexus block anesthesia in patients with femoral neck fracture.Method:A total of 98 patients with femoral neck fracture who admitted to Guilin Traditional Chinese Medicine Hospital from January 2020 to June 2023 were selected as the research objects,they were divided into control group and study group according to the random number table method,with 49 cases in each group.The control group was given traditional combined spinal-epidural anesthesia,while the study group was given nerve stimulator guided lumbar plexus combined with sacral plexus block anesthesia.The anesthetic effect,mean arterial pressure(MAP),heart rate(HR),cortisol(Cor),catecholamine(CA)and adverse reactions were compared between two groups.Result:There was no significant difference in anesthetic effect between two groups(P>0.05).The MAP of the study group at 15 min after anesthesia(T2),30 min after anesthesia(T3)were higher than those of the control group,and the differences were statistically significant(P<0.05);the HR of the study group at 5 min after anesthesia(T1),T2,T3,after surgery(T4)were higher than those of the control group,and the differences were statistically significant(P<0.05).The CA and Cor in the study group during surgery(Tb)were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between two groups(P>0.05).Conclusion:The application of nerve stimulator guided lumbar plexus combined with sacral plexus block anesthesia in patients with femoral neck fracture can stabilize hemodynamics and relieve stress response,with good anesthetic effect and high safety.
关键词
股骨颈骨折/神经刺激仪/腰丛联合骶丛神经阻滞麻醉/腰硬联合麻醉/血流动力学/应激反应Key words
Femoral neck fracture/Nerve stimulator/Lumbar plexus combined with sacral plexus block anesthesia/Combined spinal-epidural anesthesia/Hemodynamics/Stress response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