神经刺激器定位行闭孔神经阻滞在膀胱肿瘤电切除术中的临床应用

目的 观察神经刺激器定位行闭孔神经阻滞在膀胱肿瘤电切除术中使用的可行性和临床效果.方法 30例膀胱侧壁肿瘤患者随机分为观察组和对照组,每组各15例,观察组用神经刺激器定位穿刺注药,对照组按传统方法穿刺注药,比较两组患者治疗效果、术中麻醉药用量和术后生活质量.结果 观察组有1例出现大腿内收肌群收缩反应,优良率为14/15(93%);对照组有7例出现大腿内收肌群强收缩反应,优良率为8/15(53%),两组比较差异有统计学意义(p＜0.05);对照组局麻药用量以及焦虑、抑郁评分均显著高于观察组(P＜0.05).结论 利用神经刺激器辅助定位行闭孔神经阻滞可以提高阻滞的成功率和质量,值得在临床推广应用.

Clinical application of nerve stimulation in obturator nerve block during transurethral resection of the bladder tumor

Objective To explore the feasibility and clinical eflfect of nerve stimulation in obturator nerve block during transurethral resection of the bladder tumor(TURBT). Methods Thirty superfcial bladder tumor patients were randomly divided into observation group and control group, with 15 patients in each group.The patients of observation group were punctured and injected under the guidance of nerve stimulator localization,and the ones in control group underwent conventional puncture and injection of drug.Comparison was done between the 2 groups in curative effect,used drug dose and post-operative life quality. Results One patient in observation group and 7 patients in control group had symptom of adductor spasm, and the efficient rates of the 2 groups were 14/15 (93%) and 8/15 (53%), respectively, and the difference has statistical significrdnce (P＜0.05); the drug used dose and anxious score and depression score of control group were higher than those of obsenration group(P＜0.05). Conclusions The nerve stimulator localization for obturator nerve block during TURBT can improve blocking success rate and quality,and it can be extensiVely used in clinic.