巴楚医学2025，Vol.8Issue(1)：65-69,5.DOI:10.3969/j.issn.2096-6113.2025.01.012
术前股神经联合坐骨神经阻滞在胫腓骨骨折患者中的镇痛效果分析
Analgesic Effect of Preoperative Femoral-Sciatic Nerve Block in Patients with Tibial and Fibular Fractures
摘要
Abstract
Objective:To analyze the analgesic efficacy of preoperative femoral-sciatic nerve block on patients with tibial and fibular fractures.Methods:A total of sixty patients who underwent open reduction and internal fixation of the tibia and fibula at The Second People's Hospital of Nantong between December 1,2021,and December 1,2023,were selected and divided into an observation group(n=30)and a control group(n=30)based on different anesthesia methods.Both the observation and control groups received femoral-sciatic nerve block before and after surgery.The postoperative days 1,3,5,and 7 were marked as T0,T1,T2,and T3,respectively,to observe the visual analogue scale(VAS),cognitive function scores,and perioperative indicators at different time points for both groups.Results:Compared with the control group,the observation group showed significantly lower VAS scores and higher cognitive function in both active and resting states at T0,T1,T2,and T3.The awakening time[(9.38±1.93)min vs(16.86±3.78)min],intraoperative propofol dosage[(559.96±30.61)mg vs(657.75±28.82)mg],intraoperative remifentanil dosage[(516.42±35.96)g vs(725.43±23.45)g],and postoperative time to first flatus[(22.31±2.68)h vs(29.63±3.56)h]were all significantly less in the observation group than in the control group(all P＜0.05).Conclusion:Preoperative femoral-sciatic nerve block can effectively alleviate postoperative pain in patients with tibial and fibular fractures,reduce the use of analgesic and sedative drugs,which is beneficial for postoperative cognitive and intestinal function recovery.关键词
股神经-坐骨神经阻滞/胫腓骨骨折/术后疼痛/认知功能Key words
femoral-sciatic nerve block/tibial and fibular fractures/postoperative pain/cognitive function分类
医药卫生引用本文复制引用
丰亮,黄杰锋,刘张玉,陈玲..术前股神经联合坐骨神经阻滞在胫腓骨骨折患者中的镇痛效果分析[J].巴楚医学,2025,8(1):65-69,5.基金项目
南通市卫生健康委员会科研项目(MS2023068) （MS2023068）
