Application of Nerve Stimulator Guided Lumbar Plexus Combined with Sacral Plexus Block Anesthesia in Patients with Femoral Neck Fracture
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.
国家科技期刊平台
NSTL
万方数据
维普
