生命科学仪器2024，Vol.22Issue(5)：64-66,69,4.DOI:10.11967/2024221021
股神经联合股外侧皮神经阻滞麻醉对老年危重症患者下肢骨折手术氧化应激与术后恢复的影响
Effect of Anesthesia with Combined Femoral Nerve and Lateral Femoral Cutaneous Nerve Block on Oxidative Stress And Postoperative Recovery in Lower Extremity Fracture Surgery in Elderly Critically Ⅲ Patients
许君 1曹智1
作者信息
- 1. 南京医科大学第四附属医院,江苏南京 210000
- 折叠
摘要
Abstract
Objective:To study the effect of femoral nerve combined with lateral femoral cutaneous nerve block anes-thesia on oxidative stress and postoperative recovery of lower limb fracture in elderly critically ill patients.Meth-ods:From June 2022 to June 2023,60 elderly critically ill patients with lower limb fractures were selected and ran-domly divided into control group(using combined spinal-epidural anesthesia)and study group(using femoral nerve combined with lateral femoral cutaneous nerve block anesthesia),with 30 cases in each group.The clinical in-dexes of the two groups were compared.Results:Compared with the control group,the fluctuation range of hemody-namic indexes of T1、T2 and T3 in the study group was lower,the SOD level was higher,and the MDA and NE lev-els were lower,P＜0.05.Compared with the control group,the duration of motor block in the study group was shor-ter,and its cognitive function scores were higher at different time points within 1 day after operation,P＜0.05.The incidence of adverse reactions in the study group was lower than that in the control group,and the satisfaction with surgical anesthesia was higher than that in the control group,P＜0.05.Conclusion:Femoral nerve combined with lateral femoral cutaneous nerve block anesthesia can stabilize hemodynamics,shorten the duration of motor block,accelerate the recovery of cognitive function,reduce adverse reactions and improve anesthesia satisfaction.关键词
股神经联合股外侧皮神经阻滞麻醉/氧化应激/运动阻滞时间/不良反应Key words
Femoral nerve combined with lateral femoral cutaneous nerve block/Oxidative stress index/Motor block time/Adverse reaction rate分类
医药卫生引用本文复制引用
许君,曹智..股神经联合股外侧皮神经阻滞麻醉对老年危重症患者下肢骨折手术氧化应激与术后恢复的影响[J].生命科学仪器,2024,22(5):64-66,69,4.
