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

【摘要】：目的探討超聲引導下髂腹股溝-髂腹下神經(jīng)阻滯與復合氣管內(nèi)插管全身麻醉(全麻)在老年宮頸癌根治術中的應用效果。方法老年宮頸癌患者62例隨機分為試驗組和對照組,試驗組給予全麻復合超聲引導下髂腹股溝-髂腹下神經(jīng)阻滯,對照組給予單純氣管內(nèi)插管全麻,對比兩組麻醉效果及麻醉相關不良反應發(fā)生率。結(jié)果試驗組手術時間、清醒時間、丙泊酚及舒芬太尼總用量均顯著少于對照組(P0.05)。試驗組術后視覺模擬評分(VAS)、按壓自控泵次數(shù)及自控泵持續(xù)應用時間均顯著低于對照組(P0.05)。試驗組圍術期的麻醉相關不良反應發(fā)生率顯著少于對照組(P0.05)。結(jié)論超聲引導下髂腹股溝-髂腹下神經(jīng)阻滯可顯著提高宮頸癌根治術圍術期及術后的鎮(zhèn)痛效果,減少不良反應發(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)科大學第二附屬醫(yī)院麻醉科;
【分類號】：R614;R737.33

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