检验医学与临床2018，Vol.15Issue(12)：1723-1726,4.DOI:10.3969／j.issn.1672-9455.2018.12.008
超声联合神经刺激器下腰丛-坐骨神经阻滞对老年下肢骨科手术患者的作用及其SAS评分的影响
Effect of ultrasound combined with nerve stimulator low plexus sciatic nerve block on elderly patients undergoing lower extremity orthopedics surgery and its influence on SAS score
摘要
Abstract
Objective To study the effect of ultrasound combined with nerve stimulator low plexus sciatic nerve block for elderly patients with lower extremity surgery in Department of Orthopedics and the effects on the Self-rating Anxiety Scale(SAS)score.Methods A total of 82 elderly patients underwent lower extremity surgery from February 2017 to July 2017 in the Department of Orthopedics in the hospital were randomly di-vided into the observation group(41 cases)and control group(41 cases)by digital method.The patients in the control group received combined spinal epidural anesthesia,and the patients in the observation group re-ceived ultrasound combined with nerve stimulator nerve block anesthesia.The results of the two groups were compared,the sensation,the onset time of the motor nerve block,the maintenance and analgesia,the time of the bed activity,the incidence of anesthesia complications,and the SAS and the Self-rating Depression Scale(SDS)before and after anesthesia.Results After anesthesia,the effective rate in the observation group was 92.68％(38/41),and the total effective rate was 100.00％(41/41),which were significantly higher than 63.41％(26/41),and 80.49％(33/41)in the control group;in the observation group,the onset time of sen-sory block,the time of motor block onset and the duration of motor block maintenance and the duration of postoperative analgesia were significantly longer than those in the control group,and the time for the postop-erative ambulation was shorter than that in the control group;the incidence of nausea and vomiting after anes-thesia in the observation group was 4.88％(2/41),the urinary retention was 0.00％(0/41),which were sig-nificantly lower than 34.15％(14/41),19.51％(8/41)in the control group,and the differences were statisti-cally significant(P＜0.05);there was no significant difference in SAS and SDS scores between the two groups before anesthesia(P＞0.05),and the scores of SAS and SDS decreased significantly in the two groups after an-esthesia,and the decrease in the observation group was significantly greater than that in the control group(P＜0.05).Conclusion The combination of ultrasound and nerve stimulator nerve block anesthesia has obvi-ous effect on the anesthesia of the elderly patients in the lower extremity orthopedics surgery.The anesthesia is longer,and the onset of the disease is less.At the same time,it also effectively shortens the time of the oper-ation and reduces the anxiety and depression of the patients.It is more reliable and worthy of clinical applica-tion.关键词
超声引导/神经刺激仪/腰丛-坐骨神经阻滞/下肢骨科手术Key words
ultrasound guidance/nerve stimulator/lumbar plexus-sciatic nerve block/lower extrem-ity orthopedics surgery分类
医药卫生引用本文复制引用
王义龙,姚永远,贺海明,赵以林,刘高洁..超声联合神经刺激器下腰丛-坐骨神经阻滞对老年下肢骨科手术患者的作用及其SAS评分的影响[J].检验医学与临床,2018,15(12):1723-1726,4.基金项目
国家自然科学基金资助项目(81500982). （81500982）
