摘要
目的观察老年膝关节置换术患者行超声引导下股神经阻滞麻醉的术后镇痛效果。方法筛选该院于2018年1月-2019年8月期间收治的68例老年膝关节置换术患者,以患者采取的不同镇痛方法为分组依据,将其分为研究组、对照组两组,每组34例患者。对照组行静吸复合全麻+静脉自控镇痛,研究组行静吸复合全麻+超声引导下股神经阻滞麻醉。比较两组的术后镇痛效果、术后静息与活动时的VAS疼痛评分、不良反应发生率。结果研究组获得94.12%的镇痛总有效率,比对照组的76.47%高,差异有统计学意义(χ^2=4.221,P=0.040<0.05)。研究组不良反应发生率为5.88%,比对照组的26.47%低,差异有统计学意义(χ^2=5.314,P=0.021<0.05)。研究组术后静息与活动时的VAS疼痛评分分别为(2.01±1.02)分和(4.02±1.03)分,低于对照组的(4.02±2.01)分和(6.09±2.07)分,差异有统计学意义(t=5.200、5.220,P=0.000,0.000<0.05)。结论超声引导下股神经阻滞麻醉应用于老年膝关节置换术患者可以获得较好的术后镇痛效果,不仅静息与活动时疼痛减轻,也不会出现明显不良反应,既安全又有效。
Objective To observe the analgesic effect of elderly patients undergoing knee arthroplasty under ultrasound guided femoral nerve block anesthesia. Methods 68 elderly patients undergoing knee arthroplasty who were treated in the hospital from January 2018 to August 2019 were selected and divided into study group and control group based on different analgesic methods adopted by the patients, 34 patients in each group. The control group received static suction combined with general anesthesia plus intravenous self-controlled analgesia. The study group received static suction combined with general anesthesia plus ultrasound guided anesthesia of the femoral nerve block. The postoperative analgesic effect, VAS pain score at rest and activity, and the incidence of adverse reactions were compared between the two groups. Results The research group achieved a total analgesic effect of 94.12%, which was higher than the control group’s 76.47%. The difference was statistically significant(χ^2=4.221, P =0.040 <0.05). The incidence of adverse reactions in the study group was 5.88%, which was lower than the control group’s 26.47%, and the difference was statistically significant(χ^2=5.314, P=0.021<0.05). The VAS pain scores at rest and during operation in the study group were(2.01±1.02) points and(4.02±1.03) points, respectively, which were lower than the control group’s(4.02±2.01) points and(6.09 ±2.07) points. and the difference was statistically significant(t =5.200, 5.220, P =0.000,0.000 <0.05).Conclusion Ultrasound-guided femoral nerve block anesthesia can be applied to elderly patients undergoing knee arthroplasty to obtain better postoperative analgesia, which not only reduces pain during rest and activity, but also does not show obvious adverse reactions, which is safe and effective.
作者
鲁加波
LU Jia-bo(Department of Anesthesiology,Lianshui County People's Hospital,Lianshui,Jiangsu Province,223400 China)
出处
《系统医学》
2020年第5期34-36,共3页
Systems Medicine
关键词
超声引导
股神经阻滞麻醉
老年患者
膝关节置换
术后镇痛效果
Ultrasound guidance
Femoral nerve block anesthesia
Elderly patients
Knee replacement
Postoperative analgesic effect
