摘要
目的探讨超声引导髂筋膜阻滞复合全麻在股骨干骨折手术患者中的临床效果。方法选取2018年10月至2019年10月本院收治的50例股骨干骨折手术患者,随机分为参照组与研究组,每组25例。参照组给予全麻操作,研究组给予超声引导髂筋膜阻滞复合全麻操作。对比两组患者术中心率(HR)、收缩压(SBP)和舒张压(DBP),麻醉药物用量、拔管时间、唤醒时间、疼痛变化与不良反应。结果两组术后切皮(T1)以及复位时(T2)时DBP、SBP和HR均低于入室时(T0),差异具有统计学意义(P<0.05);研究组T1、T2和手术结束时(T3)DBP、SBP和HR均低于参照组(P<0.05);研究组术中麻醉药物用量少于对照组,拔管时间与唤醒时间短于对照组(P<0.05);研究组术后4 h、6 h及12 h的VAS评分低于参照组(P<0.05);研究组术后不良反应发生率低于参照组(P<0.05)。结论行股骨干骨折手术患者实施超声引导髂筋膜阻滞复合全麻,可有效控制术中心率及血压,缓解术后疼痛,促进恢复,且不良反应少,安全性高,具有显著的治疗效果,值得临床推广及应用。
Objective To investigate the clinical effect of ultrasound-guided iliofascial block combined with general anesthesia in the treatment of femoral shaft fracture.Methods 50 patients with femoral shaft fracture were selected from October 2018 to October 2019 in our hospital,they were randomly divided into the reference group and study group,with 25 cases in each group.The reference group was given general anesthesia and the study group was given ultrasound-guided iliofascial block combined with general anesthesia.The heart rate(HR),systolic blood pressure(SBP)and diastolic blood pressure(DBP),dosage of anesthetics,extubation time,wake-up time,pain changes and adverse reactions were compared between the two groups.Results DBP,SBP and HR at the time of skin incision(T1)and reduction(T2)in both groups were lower than those at the time of entry(T0)(P<0.05).DBP,SBP and HR at T1,T2 and T3 in the study group were lower than those in the control group(P<0.05).Anesthetic dosage in the study group was less than that in the control group,extubation time and wake-up time were shorter than that of the control group(P<0.05).The VAS scores of the study group at 4,6 and 12 hours after operation were lower than those of the control group(P<0.05),and the incidence of adverse reactions in the study group was lower than that of the control group(P<0.05).Conclusion Ultrasound-guided iliofascial block combined with general anesthesia for patients undergoing femoral shaft fracture surgery can effectively control heart rate and blood pressure during operation,effectively relieve pain after operation,promote recovery,have fewer adverse reactions and high safety.It has significant therapeutic effect and can be popularized and applied in clinic.
作者
李小勇
易萍
肖泽田
Li Xiaoyong;Yi Ping;Xiao Zetian(Department of Anesthesiology,The People's Hospital of Pingxiang,Pingxiang,Jiangxi,337055,China)
出处
《当代医学》
2020年第24期42-44,共3页
Contemporary Medicine
基金
萍乡市科技支撑计划项目(2018PY011)。
关键词
超声引导髂筋膜阻滞复合全麻
股骨干骨折手术
全麻
Ultrasound-guided iliofascial block combined with general anesthesia
Femoral shaft fracture surgery
General anesthesia
