摘要
Abstract
Objective To explore the influence of ultrasound-guided radio frequency pulse treatment of the suprascapular nerve and axillary nerve on the recovery quality and safety of patients after arthroscopic rotator cuff repairr.Methods 60 patients who underwent arthroscopic rotator cuff repair from July 2023 to January 2025 were selected.The patients were divided into the observation group and the control group by random number table method,with 30 cases in each group.During the intervention stage before general anesthesia induction,the observation group received ultrasound-guided combined radio frequency pulse treatment of the suprascapular nerve and axillary nerve,while the control group received ultrasound-guided intermuscular groove brachial plexus nerve block.Both groups of patients were intervened with patient controlled intravenous analgesia(PCIA)after the operation.Observe the time of operation,intraoperative opioid dosage and the number of cases of remedial analgesia in the two groups of patients,the number of PCIA compressions 48 hours after the operation,and the numerical rating scale(NRS)score in the active state(during upper arm abduction and external rotation)at 12 hours,24 hours,48 hours,1 week,1 month and 2 months after the operation,and Oxford shoulder score(OSS)at 48 hours,1 week,1 month and 2 months after the operation,postanesthesia care unit(PACU)intubation time and PACU dwell time,and the occurrence of adverse reactions(nerve injury,infection at the puncture site,hiccups,toxic reactions of local anesthetics,nausea and vomiting,hoarseness and Horner syndrome).Results There were no statistically significant differences in the time of operation,PACU indwelling time and the dosage of sufentanil during the operation between the two groups of patients(P>0.05).The number of PCIA compressions 48 hours after surgery and the number of cases of remedial analgesia in the observation group were significantly less than those in the control group,and the PACU intubation time was significantly shorter than that in the control group,the differences were statistically significant(P<0.05).The NRS score of the observation group in the active state 12 hours after the operation was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The NRS score of the observation group in the active state 24 hours after the operation was higher than that of the control group,but the difference was not statistically significant(P>0.05).The NRS scores of the observation group in the active state at 48 hours,1 week,1 month and 2 months after the operation were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in OSS between the two groups of patients at 48 hours and 1 week after surgery(P>0.05).The OSS of the observation group at 1 and 2 months after the operation was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups of patients(P>0.05).Conclusion Ultrasound-guided radio frequency pulse treatment of the suprascapular nerve and axillary nerve provides definite analgesic effects for patients undergoing arthroscopic rotator cuff injury repair,is conducive to the recovery of shoulder joint function,and is safe.It is worthy of clinical promotion and application.关键词
超声引导/肩胛上神经/腋神经/射频脉冲/肩袖损伤/关节镜Key words
ultrasound guidance/suprascapular nerve/axillary nerve/radio frequency pulse/rotator cuff injury/arthroscopy分类
医药卫生
