本文關(guān)鍵詞： 超聲引導(dǎo) 髂腹股溝-髂腹下神經(jīng)阻滯 宮頸癌根治術(shù)　出處：《中國(guó)老年學(xué)雜志》2017年13期 　論文類型：期刊論文

【摘要】：目的探討超聲引導(dǎo)下髂腹股溝-髂腹下神經(jīng)阻滯與復(fù)合氣管內(nèi)插管全身麻醉(全麻)在老年宮頸癌根治術(shù)中的應(yīng)用效果。方法老年宮頸癌患者62例隨機(jī)分為試驗(yàn)組和對(duì)照組,試驗(yàn)組給予全麻復(fù)合超聲引導(dǎo)下髂腹股溝-髂腹下神經(jīng)阻滯,對(duì)照組給予單純氣管內(nèi)插管全麻,對(duì)比兩組麻醉效果及麻醉相關(guān)不良反應(yīng)發(fā)生率。結(jié)果試驗(yàn)組手術(shù)時(shí)間、清醒時(shí)間、丙泊酚及舒芬太尼總用量均顯著少于對(duì)照組(P0.05)。試驗(yàn)組術(shù)后視覺模擬評(píng)分(VAS)、按壓自控泵次數(shù)及自控泵持續(xù)應(yīng)用時(shí)間均顯著低于對(duì)照組(P0.05)。試驗(yàn)組圍術(shù)期的麻醉相關(guān)不良反應(yīng)發(fā)生率顯著少于對(duì)照組(P0.05)。結(jié)論超聲引導(dǎo)下髂腹股溝-髂腹下神經(jīng)阻滯可顯著提高宮頸癌根治術(shù)圍術(shù)期及術(shù)后的鎮(zhèn)痛效果,減少不良反應(yīng)發(fā)生。
[Abstract]:Objective to investigate the effect of ultrasound guided ilioinguinal inferior iliac nerve block and general anesthesia (general anesthesia) combined with intratracheal intubation. Methods Sixty-two elderly patients with cervical cancer were randomly divided into two groups: the experimental group and the control group. The experimental group was given general anesthesia combined with ultrasound guided ilioinguinal and inferior iliac ventral nerve block, while the control group was given simple endotracheal intubation general anesthesia to compare the anesthetic effect and the incidence of anaesthesis-related adverse reactions. Waking time, The total dosage of propofol and sufentanil was significantly lower than that of the control group (P 0.05). The visual analogue score (VASA), the times of pressing the self-controlled pump and the duration of the self-control pump in the experimental group were significantly lower than those in the control group (P 0.05). The anaesthesia related to the perioperative period in the experimental group was not significantly lower than that in the control group. The incidence of good reaction was significantly lower than that of the control group (P0.050.Conclusion Ultrasound-guided ilioinguinal inferior iliac nerve block can significantly improve the perioperative and postoperative analgesic effect of cervical cancer. Reduce the incidence of adverse reactions.
【作者單位】： 安徽醫(yī)科大學(xué)第二附屬醫(yī)院麻醉科;
【分類號(hào)】：R614;R737.33

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 李士標(biāo);髂腹下神經(jīng)損傷的診治[J];安徽中醫(yī)臨床雜志;1999年04期

2 劉仰斌,郭明宇,王維洛;右髂腹下神經(jīng)的應(yīng)用解剖及其臨床意義[J];贛南醫(yī)學(xué)院學(xué)報(bào);2002年02期

3 宋文濂;;按摩治愈髂腹下神經(jīng)損傷[J];按摩與導(dǎo)引;1987年05期

4 魏生慶;髂腹下神經(jīng)損傷3例診療體會(huì)[J];青海醫(yī)藥雜志;1999年09期

5 陳志強(qiáng),陳恒,鄒小成,陳春鵬;髂腹下神經(jīng)與闌尾手術(shù)切口的關(guān)系[J];中國(guó)臨床解剖學(xué)雜志;1998年03期

6 董博;王學(xué)東;付能榮;;髂腹下神經(jīng)的應(yīng)用解剖及臨床意義[J];解剖學(xué)研究;2008年01期

7 王少鋒;蔣平;王祖龍;;保留髂腹下神經(jīng)在泌尿外科腰部手術(shù)切口的應(yīng)用[J];中國(guó)誤診學(xué)雜志;2009年07期

8 王策;;髂腹下神經(jīng)在腹部手術(shù)切口的應(yīng)用解剖[J];醫(yī)學(xué)理論與實(shí)踐;2012年06期

9 劉孝友;手法加封閉治療髂腹下神經(jīng)損傷[J];中醫(yī)外治雜志;1995年06期

10 黃飛;萬帆;蔡永江;;髂腹股溝-髂腹下神經(jīng)阻滯在兒科麻醉中臨床研究進(jìn)展[J];臨床和實(shí)驗(yàn)醫(yī)學(xué)雜志;2006年08期

相關(guān)會(huì)議論文 前1條

1 姚鵬;吳秀英;張忠漢;王彬;崔健君;;神經(jīng)阻滯對(duì)髂腹下神經(jīng)痛的緩解與改善患者情緒的關(guān)系[A];中華醫(yī)學(xué)會(huì)疼痛學(xué)分會(huì)第六屆年會(huì)論文摘要[C];2005年

，

本文編號(hào)：1495140