| 超声引导星状神经节阻滞对膝关节置换术止血带反应的影响 |
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| 引用本文： | 陈光洪,李俊青,赵圆圆,李腾飞,席文凤,袁浩. 超声引导星状神经节阻滞对膝关节置换术止血带反应的影响[J]. 蚌埠医学院学报, 2021, 46(1): 54-57. DOI: 10.13898/j.cnki.issn.1000-2200.2021.01.015 |
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| 作者姓名： | 陈光洪 李俊青 赵圆圆 李腾飞 席文凤 袁浩 |
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| 作者单位： | 安徽医科大学附属阜阳医院 麻醉科, 安徽 阜阳 236000 |
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| 基金项目： | 安徽省自然科学基金项目 |
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| 摘 要： | 目的:研究超声引导星状神经节阻滞(SGB)对膝关节置换术止血带反应的影响.方法:选择行单侧膝关节置换术病人60例,用随机数字表法均分为2组,C组采取全身麻醉,E组采取超声引导下SGB联合全身麻醉.比较2组止血带充气前(T0)、止血带充气后30 min(T1)、止血带充气1 h(T2)、止血带放气前(T3)、止血带放气5...
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| 关 键 词： | 膝关节置换术 超声引导 星状神经节阻滞 止血带 |
| 收稿时间： | 2020-03-20 |
Effect of stellate ganglion block-guided by ultrasound on tourniquet response in knee arthroplasty |
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| CHEN Guang-hong,LI Jun-qing,ZHAO Yuan-yuan,LI Teng-fei,XI Wen-feng,Yuan Hao. Effect of stellate ganglion block-guided by ultrasound on tourniquet response in knee arthroplasty[J]. Journal of Bengbu Medical College, 2021, 46(1): 54-57. DOI: 10.13898/j.cnki.issn.1000-2200.2021.01.015 |
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| Authors: | CHEN Guang-hong LI Jun-qing ZHAO Yuan-yuan LI Teng-fei XI Wen-feng Yuan Hao |
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| Affiliation: | Department of Anesthesiology, Fuyang Hospital, Anhui Medical University, Fuyang Anhui 236000, China |
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| Abstract: | ObjectiveTo study the effects of ultrasound-guided stellate ganglion block(SGB)on tourniquet response in knee arthroplasty.MethodsSixty patients treated with unilateral knee arthroplasty were randomly divided into the group C and group E by random number table method.The group C and group E were treated with general anesthesia and SGB guided by ultrasound combined with general anesthesia.The heart rate(HR), systolic blood pressure(SBP), blood oxygen saturation(SpO2), EEG dual frequency index(BIS), anesthetic dosage, intraoperative blood loss, operation time, awake time, extubation time, postoperative sleep quality and postoperative complications were compared between two groups before tourniquet inflation(T0), after 30 min(T1)and 1 h(T2)of tourniquet inflation, before tourniquet deflation(T3), after 5 min(T4)and 30 min(T5)of tourniquet.ResultsThe differences of the HR, SBP, SpO2 and BIS at T0, T1, T2 and T5, the HR, SpO2 and BIS at T4, and the SpO2 at T3 were not statistically significant between two groups(P>0.05).The HR, SBP and BIS in C group at T3 were significantly higher than those in group E(P < 0.05 to P < 0.01).The anesthetic dosage, wake-up time, extubation time and postoperative sleep quality score in group C were significantly higher than those in group E(P < 0.05), and the differences of the intraoperative blood loss and operation time between two groups were not statistically significant(P < 0.05).The incidence rates of postoperative complication in group C and group E were 10.00% and 6.67, respectively, and the difference of which was not statistically significant(P>0.05).ConclusionsThe SGB guided by ultrasound can reduce the tourniquet response in knee replacement surgery, thereby stabilizing the patient's hemodynamics, reducing the use of intraoperative narcotic analgesics, and not increasing adverse reactions. |
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