摘要
目的观察股神经阻滞联合I-gel喉罩或气管插管全身麻醉在全膝关节置换术的应用效果。方法 30例行全膝关节置换术患者随机均分为股神经阻滞联合I-gel喉罩全身麻醉组(A组)和股神经阻滞联合气管插管全身麻醉组(B组)。记录两组麻醉前(T0)、气管插管或置入喉罩时(T1)、气管插管或置入喉罩后1min(T2)、切皮时(T3)和拔管或取出喉罩时(T4)的MAP和HR,记录苏醒时间、拔管或取出喉罩时间以及并发症的发生情况。结果与B组相比,A组T1、T2、T4时的MAP和HR较低,术毕苏醒较快,拔管呛咳和咽喉疼痛的发生率减少(P<0.05)。结论股神经阻滞联合I-gel喉罩全身麻醉用于全膝关节置换术时,循环稳定,苏醒迅速,并发症较少。
Objective To investigate the clinical efficacy of femoral nerve block combined with I-gel laryngeal mask airway （LMA） or endotracheal intubation general anesthesia in the patients undergoing total knee replacement （TKR）. Methods Thirty patients undegoing TKR were equally randomized into two groups of A（femoral nerve block combined with I-gel LMA general anesthesia） and B（ femoral nerve block combined with endotracheal intubation general anesthesia）. MAP and HR were recorded before anesthesia （TO）, at the time of intubation or LMA insertion（T1）, 1 rain after intubation or LMA insertion （T2）, skin incision （T3） and extubation or LMA removal （T4）. Besides, the recovery time, extubation or LMA removal time and complications were observed. Results Compared with group B, the MAP and HR were more stable, recovery from anesthesia was earlier, and the incidence rates of coughing and sore throat were lower in group A （P〈0. 05）. Conclusion Compared with femoral nerve block combined with endotracheal intubation general anesthesia, combined use of femoral nerve block and I-gel LMA general anesthesia can keep circulation more stable, shortern the recovery time from anesthesia, and has less complications in the patients undergoing TKR.
出处
《江苏医药》
CAS
2015年第15期1759-1761,共3页
Jiangsu Medical Journal
关键词
股神经阻滞
喉罩
全膝关节置换术
Femoral nerve block
Laryngeal mask airway
Total knee replacement
