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超声下股神经-股外侧皮神经联合阻滞麻醉在髌骨骨折手术中的应用价值研究

施凌燕 周卫东 王韦玮 吴珍

川北医学院学报2017,Vol.32Issue(6):890-892,3.
川北医学院学报2017,Vol.32Issue(6):890-892,3.DOI:10.3969/j.issn.1005-3697.2017.06.024

超声下股神经-股外侧皮神经联合阻滞麻醉在髌骨骨折手术中的应用价值研究

Analysis of application value of nerve-shares of the lateral cutaneous nerve block anesthesia under ultrasound guidance in patellar fracture operation

施凌燕 1周卫东 1王韦玮 1吴珍1

作者信息

  • 1. 昆山市第二人民医院麻醉科,苏州昆山215300
  • 折叠

摘要

Abstract

Objective:To analyze the application value of nerve-shares of the lateral cutaneous nerve block anesthesia under ultrasound guidance in patellar fracture operation.Methods:Clinical data of 80 patients with patellar fracture was retrospectively analyzed.Patients included were divided into two groups,experimental group (nerve-shares of the lateral cutaneous nerve block anesthesia under ultrasound guidance) and control group (lumbar anesthesia under ultrasound guidance),40 cases in each group.The levels of SBP,DBP,HR before and after anesthesia,motor and sensory blockade and the adverse occurrence rates between two groups were compared.Results:The levels of SBP and DBP at 5 min,10 min,15 min,30 min after anesthesia in experimental group were obviously higher than those in control group (P < 0.05).The motion block duration in experimental group was obviously lower than that in control group,and the duration of sensory blockade in experimental group was obviously higher than that in control group (P < 0.05).The adverse occurrence rate in experimental group (2.5%) was obviously lower than that in control group (42.5%) (P < 0.01).Conclusion:The clinical efficacy of lateral cutaneous nerve block anesthesia under ultrasound guidance in patellar fracture operation is obvious,and the safety is better,which is helpful for the postoperative analgesia and early functional training.

关键词

髌骨骨折/超声引导/股神经阻滞麻醉/股外侧皮神经阻滞

Key words

Patellar fracture/Ultrasound guidance/Femoral nerve block anesthesia/Shares of the lateral cutaneous nerve block

分类

医药卫生

引用本文复制引用

施凌燕,周卫东,王韦玮,吴珍..超声下股神经-股外侧皮神经联合阻滞麻醉在髌骨骨折手术中的应用价值研究[J].川北医学院学报,2017,32(6):890-892,3.

川北医学院学报

OACSTPCD

1005-3697

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