本文關(guān)鍵詞： 超聲 神經(jīng)阻滯 全身麻醉 脛骨骨折 可行性 安全性　出處：《江西醫(yī)藥》2016年04期 　論文類型：期刊論文

【摘要】：目的探究超聲引導(dǎo)下神經(jīng)阻滯復(fù)合全身麻醉在脛骨骨折手術(shù)中的應(yīng)用效果及安全性評(píng)價(jià)。方法選擇2012年4月至2015年4月收治的擇期行脛骨骨折切開(kāi)復(fù)位內(nèi)固定手術(shù)的患者共61例,按照入院時(shí)間順序隨機(jī)分為對(duì)照組與觀察組,對(duì)照組患者接受全身麻醉,觀察組患者接受超聲引導(dǎo)下神經(jīng)阻滯復(fù)合全身麻醉。比較兩組患者丙泊酚使用量、蘇醒時(shí)間、拔管相關(guān)情況及并發(fā)癥發(fā)生率。結(jié)果觀察組丙泊酚使用量明顯少于對(duì)照組,t=10.4611,P0.05。觀察組蘇醒時(shí)間及拔管時(shí)間短于對(duì)照組,t=7.9737,10.5306,P0.05。兩組患者麻醉前Ramsay評(píng)分及VAS評(píng)分無(wú)明顯差異,P0.05。觀察組拔管后10min Ramsay評(píng)分低于對(duì)照組,t=10.0741,P0.05。觀察組拔管后30min VAS評(píng)分明顯低于對(duì)照組,t=5.4134,P0.05。兩組患者并發(fā)癥發(fā)生率無(wú)統(tǒng)計(jì)學(xué)差異,P0.05。結(jié)論超聲引導(dǎo)下神經(jīng)阻滯復(fù)合全身麻醉能減少丙泊酚用量,縮短蘇醒時(shí)間及拔管時(shí)間,能夠有效鎮(zhèn)靜、鎮(zhèn)痛,安全無(wú)明顯不良反應(yīng),值得臨床推廣應(yīng)用。
[Abstract]:Objective to evaluate the efficacy and safety of ultrasound guided nerve block combined with general anesthesia in the operation of tibial fracture. Methods selective tibial fracture incision was performed from April 2012 to April 2015. There were 61 cases of reduction and internal fixation. According to the time of admission, the patients in the control group were randomly divided into control group and observation group. The patients in the control group received general anesthesia, and the patients in the observation group received ultrasound guided nerve block combined with general anesthesia. The usage of propofol was compared between the two groups. Results the usage of propofol in the observation group was significantly lower than that in the control group (10.4611). P0.05.The time of recovery and extubation in the observation group was shorter than that in the control group (7.9737 / 10.5306). There was no significant difference in Ramsay score and VAS score between the two groups before anesthesia. The Ramsay score in the observation group was lower than that in the control group 10 minutes after extubation. The VAS score in the observation group was significantly lower than that in the control group at 30 minutes after extubation. P0.05.There was no significant difference in the incidence of complications between the two groups. Conclusion Ultrasound-guided nerve block combined with general anesthesia can reduce the dosage of propofol, shorten the recovery time and extubation time. Can be effective sedation, analgesia, safety and no obvious adverse reactions, worthy of clinical application.
【作者單位】： 江西省宜豐縣人民醫(yī)院麻醉科;
【分類號(hào)】：R614.2
【正文快照】： 脛骨骨折作為骨科常見(jiàn)的急癥之一,有較高的發(fā)病率,多合并腓骨骨折,發(fā)病率約占四肢骨折的3.77%[1]。臨床上治療脛骨骨折多采用切開(kāi)復(fù)位內(nèi)固定治療[2],隨著社會(huì)-心理-醫(yī)學(xué)模式不斷發(fā)展,麻醉理念也得到不斷發(fā)展,從最初的順利完成手術(shù)發(fā)展為增加麻醉舒適度、提高麻醉的安全性。近

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 張躍軍,葛永進(jìn);選擇性下肢神經(jīng)阻滯在下肢手術(shù)中的應(yīng)用[J];浙江臨床醫(yī)學(xué);2003年04期

2 嚴(yán)相默,李香月,孫玉;直線偏振光近紅外線照射合用神經(jīng)阻滯提高治痛效果的量化評(píng)估[J];中國(guó)臨床康復(fù);2005年26期

3 湯洪;陳何偉;劉志奇;;神經(jīng)阻滯時(shí)機(jī)與老年人發(fā)生帶狀皰疹后神經(jīng)痛關(guān)系的觀察[J];中國(guó)疼痛醫(yī)學(xué)雜志;2007年02期

4 Robert Helfand;劉若杉;郭向陽(yáng);;下肢神經(jīng)阻滯[J];實(shí)用疼痛學(xué)雜志;2007年06期

5 高顯平;;區(qū)域神經(jīng)阻滯治療腹股溝疝62例臨床分析[J];首都醫(yī)藥;2009年02期

6 鄧曉東;駱英;;三種神經(jīng)阻滯在鎖骨骨折手術(shù)的應(yīng)用[J];臨床麻醉學(xué)雜志;2010年08期

7 陳平;顧華華;劉妍s，

本文編號(hào)：1488795