超声与神经刺激仪引导下连续股神经阻滞在全膝关节置换术后镇痛效果比较被引量：7

在线阅读下载PDF

导出

摘要目的比较超声与神经刺激仪引导下连续股神经阻滞在全膝关节置换术(TKA)后镇痛的效果。方法选取2014年6月至2015年12月该院收治的单侧TKA患者90例,采用随机数表法分为超声组和神经刺激仪组各45例。超声组行超声引导下穿刺置管,神经刺激仪组行神经刺激仪引导下穿刺置管。比较两组阻滞操作时间、麻醉起效时间,术后2、4、8、12、24小时静息状态下的视觉模拟评分(VAS)值及并发症情况。结果超声组阻滞操作时间、麻醉起效时间均明显短于神经刺激仪组,术后各时间点VAS值和并发症发生率明显低于神经刺激仪组,差异有统计学意义。结论超声引导下连续股神经阻滞在TKA后镇痛中效果较神经刺激仪好,可缩短操作时间,起效迅速,镇痛效果好,且并发症少。

作者杨世忠杜津

机构地区武警浙江省总队嘉兴医院麻醉科

出处《中国乡村医药》 2016年第14期26-27,共2页

关键词超声神经刺激仪全膝关节置换术连续股神经阻滞术后镇痛

分类号 R614 [医药卫生—麻醉学]

引文网络
相关文献

参考文献3

1张涛,郑家晴,翟民,孟凡领,王孟.左布比卡因临床应用研究概述[J].药学研究,2015,34(9):542-543. 被引量：3
2祝劲松,李成,周海斌.超声引导下连续股神经阻滞镇痛在全膝关节置换术中的临床观察[J].江苏医药,2013,39(12):1472-1473. 被引量：9
3陶岩,王庚,岳云.神经刺激器与超声引导连续股神经阻滞用于患者膝关节术后镇痛临床价值的比较[J].中华麻醉学杂志,2014,34(10):1204-1206. 被引量：7

二级参考文献25

1王向兵,曾因明.左布比卡因的药代学、药效学特性及其毒性[J].国外医学（麻醉学与复苏分册）,2004,25(4):223-226. 被引量：67
2鞠洪斌,余存泰,覃健,侯之启.全膝关节置换术中关节周围局部注药镇痛效果的研究[J].中国矫形外科杂志,2007,15(13):967-968. 被引量：23
3Sugar SL, Huston LR Jr, Shannon P, et al. Comparison of extended-release epidural morphine with femoral nerve block to patient-controlled epidural analgesia for postoperative pain control of total knee arthroplasty: a case-controlled study[J]. Ochsner J,2011,11(1) :17-21.
4Lee AR, Choi DH, Ko JS, et al. Effect of combined single iniection femoral nerve block and patient-controlled epidural analgesia in patients undergoing total knee replacement[J].Yonsei Med J, 2011,52(1) : 145-150.
5IIfeld BM, Mariano ER, Girard PJ, et al. A multicenter, randomized, triple-masked, placebo-controlled trial of the effect of ambulatory continuous femoral nerve blocks on discharge readiness followiag total knee arthroplasty in patients on general orthopaedic wards[J]. Pain, 2010,150 (3) : 477- 484.
6Marhofer P, Schrogendorfer K, Koinig H, et al. Ultrasono- graphic guidance improves sensory block and onset time of three-in-one blocksrlT. Anesth Analg, 1997,85(4) :854 -857.
7Kadic L,Boonstra MC, DE Waal Malefijt MC, et al. Continuous fem- oral nerve block after total knee arthroplasty[J]. Acta Anaesthesiol Scand, 2009,53 (7) : 914-920.
8Wang AZ, Gu L, Zhou QH, et al. Ultrasound-guided continuous fe- moral nerve block for analgesia after total knee arthroplasty: catheter perpendicular to the nerve versus catheter parallel to the nerve[J].Reg Anesth Pain Med,2010,35(2) : 127-131.
9Dauri M, Fabbi E, Mariani P, et ah Continuous femoral nerve block provides superior analgesia compared with continuous intra-articular and wound infusion after anterior eruciate ligament reconstruction[J]. Reg Anesth Pain Med, 2009,34 (2) : 95-99.
10Liu SS, Zayas VM, Gordon MA, et al. A prospective, randomized, con- trolled trial comparing ultrasound versus nerve stimulator guidance for interscalene black for ambulatory shoulder surgery for postoperative neurological symptoms [ J ]. A nesth Analg, 2009,109 ( 1 ) : 265-271.