【摘要】：目的評(píng)估連續(xù)隱神經(jīng)阻滯在老年患者膝關(guān)節(jié)鏡手術(shù)后鎮(zhèn)痛的療效及其對(duì)患側(cè)股四頭肌肌力的影響。方法擬在腰-硬聯(lián)合麻醉下行單側(cè)關(guān)節(jié)鏡膝關(guān)節(jié)探查清理術(shù)的老年骨性關(guān)節(jié)炎患者90例,ASAⅠ~Ⅲ級(jí),年齡65~83歲。按照隨機(jī)數(shù)字表均分為三組,分別在手術(shù)結(jié)束后接受48h的連續(xù)隱神經(jīng)阻滯(S組)、連續(xù)股神經(jīng)阻滯(F組)及嗎啡PCIA(M組)鎮(zhèn)痛治療。記錄術(shù)前(T1)及術(shù)后6h(T2)、24h(T3)、48h(T4)、72h(T5)患者患側(cè)股四頭肌肌力、疼痛VAS評(píng)分、舒適度評(píng)分,并記錄不良反應(yīng)。結(jié)果 T2~T4時(shí)S組和M組股四頭肌肌力差異無統(tǒng)計(jì)學(xué)意義,但明顯高于F組(P0.01)。S組和F組在T2~T4時(shí)疼痛VAS評(píng)分均明顯低于M組(P0.01),T2~T5時(shí)舒適度評(píng)分均明顯高于M組(P0.01)。M組(9例,30%)的惡心嘔吐明顯高于S組(1例,3.3%)和F組(2例,6.7%)(P0.01),其它不良反應(yīng)差異無統(tǒng)計(jì)學(xué)意義。結(jié)論連續(xù)隱神經(jīng)阻滯與連續(xù)股神經(jīng)阻滯術(shù)后鎮(zhèn)痛效果相當(dāng),且連續(xù)隱神經(jīng)阻滯對(duì)股四頭肌肌力無明顯影響,不良反應(yīng)少。
[Abstract]:Objective To evaluate the effect of continuous saphenous nerve block on the operation of knee arthroscopy in elderly patients and its effect on the muscle strength of quadriceps femoris. Methods 90 cases of senile patients with osteoarthritis, ASA 鈪，

本文編號(hào)：2457727