股神经阻滞用于股骨干骨折术前镇痛临床观察

目的观察股神经阻滞对股骨干骨折患者术前搬动时的镇痛效果,为骨折患者术前提供更安全、有效的镇痛方法。方法股骨干骨折患者30例,ASAⅠ~Ⅱ级,手术当天随机分为三组。Ⅰ组常规肌注苯巴比妥0.1 g;Ⅱ组肌注哌替啶50 mg,异丙嗪25 mg;Ⅲ组用2%利多卡因15 m l行股神经阻滞。分别于搬动时进行视觉模拟评分(VAS)。结果VAS评分III组明显低于Ⅱ组(P<0.01),Ⅱ组明显低于Ⅰ组(P<0.01)。结论股神经阻滞对股骨干骨折患者的镇痛完善,并且操作简单易行,安全性高。

Clinical Observation of Preoperative Analgesia on Femoral Shaft Fracture with Femoral Nerve Block

Objective To study the analgetic effect of femoral nerve block on the patients with fresh femoral shaft fractures when they are being moved before operation and to solve the analgetic problem of preoperative patients of fractures in a safer and more effective way.Methods Thirty ASA Ⅰ~Ⅱpatients with femoral shaft fracture were divided at random into three groups at the operating day: the first were routinely given sodium luminal 0.1g intramuscularly;the second were given meperidine hydrochloride 50mg and promethazine hydrochloride 25mg intramuscularly,and the third were treated by femoral nerve block using 2% lidocaine 15ml.All the three groups were performed the VAS pain scoreing when being moved.Results There were significant difference in the VAS scores among the three groups: the VAS score of the third group was distinctly lower than that of the second,and the score of the second was much lower than that of the first(P<0.01).Conclusion The femoral never block is a good method to the control of limb pain when the patients with femoral shaft fracture are being moved before operation.Additionally,it can be used easily and safely.