| 超声引导下腰骶丛神经阻滞联合全麻在高龄患者髋关节置换术中的临床应用 |
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| 引用本文： | 安小凤,方良勤,吴丹. 超声引导下腰骶丛神经阻滞联合全麻在高龄患者髋关节置换术中的临床应用[J]. 中华全科医学, 2021, 19(2): 186-188,311. DOI: 10.16766/j.cnki.issn.1674-4152.001763 |
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| 作者姓名： | 安小凤 方良勤 吴丹 |
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| 作者单位： | 中国人民解放军陆军第七十二集团军医院麻醉科;中国人民解放军陆军第七十二集团军医院骨科 |
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| 基金项目： | 浙江省医学会临床科研资金项目(2018ZYC-A78)。 |
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| 摘 要： | 目的 观察超声引导下腰骶丛神经阻滞联合全麻应用于高龄患者髋关节置换术对患者术后临床疗效的影响.方法 选择2018年1月-2020年1月中国人民解放军陆军第七十二集团军医院骨科收治的80例择期行全髋关节置换术的老年高龄患者纳入研究,随机数字表法分为观察组和对照组,每组40例,2组患者术式一致,观察组麻醉方式采用超声引导下...
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| 关 键 词： | 腰丛神经阻滞 骶丛神经阻滞 老年 髋关节置换术 疗效 |
| 收稿时间： | 2020-04-30 |
Clinical application of ultrasound-guided low sacral plexus nerve block combined with general anesthesia in hip replacement for elderly patients |
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| AN Xiao-feng,FANG Liang-qin,WU Dan. Clinical application of ultrasound-guided low sacral plexus nerve block combined with general anesthesia in hip replacement for elderly patients[J]. Applied Journal Of General Practice, 2021, 19(2): 186-188,311. DOI: 10.16766/j.cnki.issn.1674-4152.001763 |
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| Authors: | AN Xiao-feng FANG Liang-qin WU Dan |
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| Affiliation: | Department of Anesthesia, Seventy-two Group Military Hospital, Huzhou, Zhejiang 313000, China |
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| Abstract: | Objective To observe the effect of ultrasound-guided sacral plexus block combined with general anesthesia on the postoperative clinical effect of hip replacement in elderly patients. Methods Total 80 elderly patients undergoing elective total hip replacement from January 2018 to January 2020 in our department were selected. They were randomly divided into experimental and control groups with 40 cases per group. The operation methods of the two groups were the same. The observation group was anesthetized by ultrasound-guided lumbosacral plexus block combined with general anesthesia, while the control group was anesthetized by general anesthesia. Laryngeal mask ventilation was used during anesthesia, and the bispectral index(BIS) of EEG was maintained at 45-55. The heart rate(HR) and mean arterial pressure(map) were recorded before entering the room(T0), 10 min after anesthesia(T1), 30 min after operation(T2) and 2 h after operation(T3), and 6, 12, 24, 36, 48 and 72 h after operation VAS scores were recorded, including intraoperative infusion volume, sufentanil dosage, operation time, intraoperative blood loss, postoperative extubation time and exhaust time. The data of two groups were compared and analysed. Results The intraoperative infusion volume, sufentanil dosage, operation time, intraoperative blood loss, postoperative extubation time, and exhaust time in the observation group were significantly lower than those in the control group(all P<0.05). The HR and MAP of the observation group at T1 and T2 were lower than those of the control group(all P<0.05). Vas scores at 6, 12, 24, and 36 h in the observation group were lower than those in the control group(all P<0.05). Conclusion Compared with general anesthesia, ultrasound-guided lumbosacral plexus block combined with general anesthesia can reduce the dosage of opioid analgesics during the operation, and has better analgesic effect. It can reduce the amount of intraoperative infusion and blood loss, shorten the operation time, postoperative extubation time and exhaust time, and has high anesthesia satisfaction. |
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| Keywords: | Lumbar plexus nerve block Sacral plexus block Elderly patients Hip replacement The curative effect |
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