摘要
本文对超声引导下连续腰交感神经节阻滞联合全麻对膝关节置换术患者镇痛及苏醒质量的影响进行了分析和探讨。选取2017年1月~2019年1月本院膝关节置换术患者100例,依据随机数字表分为滞麻组和单麻组,每组50例,单麻组给予单纯全麻,滞麻组在此基础上给予超声引导下连续腰交感神经节阻滞,比较两组镇痛及苏醒质量、不良反应。结果显示,滞麻组切皮时(T1)、关节置换时(T2)、术毕(T3)的平均动脉压(MAP)、心率(HR)明显低于单麻组,滞麻组镇痛优良率明显高于单麻组,有统计学差异(P<0.05);滞麻组呼之睁眼、呼之握拳、拔管、苏醒时间和苏醒并发症率明显低于单麻组,有统计学差异(P<0.05);滞麻组和单麻组不良反应率比较,无统计学差异(P>0.05)。本文认为,超声引导下连续腰交感神经节阻滞联合全麻可有效改善膝关节置换术患者镇痛及苏醒质量,且安全性好,值得临床推广。
The effect of ultrasound-guided continuous lumbar sympathetic ganglion block combined with general anesthesia on the analgesia and recovery quality in patients undergoing knee arthroplasty was analyzed in this study.From January 2017 to January 2019,100 patients with knee arthroplasty in our hospital were selected as the subjects of study,they were divided into anesthesia group and anesthesia group according to random number table,50 cases in each group.The single anesthesia group was given general anesthesia,and the block anesthesia group was given continuous lumbar sympathetic ganglion block guided by ultrasound.The of analgesia and recovery quality,adverse reactions were compared between the two groups.The results showed that,the mean arterial pressure(MAP)and heart rate(HR)in the block anesthesia group at skin incision time(T1),knee arthroplasty time(T2),postoperatively(T3)were significantly lower in those in the anesthesia group,the anesthesia excellent rate in the block anesthesia group was significantly higher than in the anesthesia group,the difference was statistically significant(P<0.05).The amount of anesthetics,opening eyes,clenching,extubation,and awakening time and awakening complications rate in the block anesthesia group were significantly lower than those in the anesthesia group,the difference was statistically significant(P<0.05).The comparison of the adverse reaction rate between the block anesthesia group and the anesthesia group,the difference was no statistically significant(P>0.05).This study confirms that,ultrasound-guided continuous lumbar sympathetic ganglion block combined with general anesthesia can effectively improve the analgesia and recovery quality in patients undergoing knee arthroplasty,and it has the good safety,it’s worth for further clinical promotion.
作者
刘晓岚
曹晓霞
LIU Xiaolan;CAO Xiaoxia(Department of Anesthesiology,Department of Traditional Chinese Medicine,Enshi Tujia and Miao Autonomous Prefecture Central Hospital,Enshi 445000,Hubei,P.R.China)
出处
《影像科学与光化学》
CAS
2019年第6期591-597,共7页
Imaging Science and Photochemistry
关键词
超声引导
连续腰交感神经节阻滞
全麻
膝关节置换术
镇痛质量
苏醒质量
ultrasound-guided
continuous lumbar sympathetic ganglion block
general anesthesia
knee arthroplasty
analgesia quality
recovery quality
