中国医学创新2016，Vol.13Issue(23)：31-34,4.DOI:10.3969/j.issn.1674-4985.2016.23.009
连续股神经阻滞联合硬膜外麻醉在老年患者全膝关节置换术中的临床研究
The Clinical Study of Continuous Femoral Nerve Block Combined with Epidural Anesthesia in Elderly Patients Undergoing Total Knee Replacement
摘要
Abstract
Objective:To study application value of continuous femoral nerve block combined with epidural anesthesia in elderly patients undergoing total knee replacement.Method:The 86 cases of unilateral TKA patients in our hospital in March 2010 to April 2015 were selected,randomly divided into the control group (n=43,the implementation of CFNB anesthesia analgesia) and the observation group (n=43,to be CFNB combined with epidural morphine analgesia),VAS score, strength score,sedation degree of knee joint curvature between the two groups and point of resting and exercise after operation were compared; The differences of 24h stress reaction and adverse reactions were observed in the two groups.Result:VAS score of 24,48,72 h resting state and exercise time in the observation group was significantly lower than the control group(P<0.05);muscle strength score, knee flexion was higher than the control group (P<0.05).Two groups of postoperative 24,48,72 h sedation level can be compared,there was no significant difference (P>0.05).The 24 h blood glucose,CRP,WBC and cortisol levels in the observation group were significantly lower than those in the control group(P<0.05).The observation group of 6 cases with mild skin itching,but can be tolerated,no adverse reactions in the control group. Conclusion:CFNB combined with epidural morphine anesthesia for postoperative analgesia in elderly patients with TKA, the lower limb muscle strength,analgesic effect is excellent,stress reaction and adverse reaction rate is low.关键词
镇痛效果/肌力评分/连续股神经阻滞Key words
Analgesic effect/Muscle strength score/Continuous femoral nerve block引用本文复制引用
钱晓岚..连续股神经阻滞联合硬膜外麻醉在老年患者全膝关节置换术中的临床研究[J].中国医学创新,2016,13(23):31-34,4.基金项目
河南省医学科技攻关计划项目 （）
