摘要
目的:探究和分析神经刺激器定位下采用罗哌卡因行腰丛联合坐骨神经阻滞对膝关节镜手术患者的影响。方法:选取700例本院行膝关节镜手术的患者,采用随机数字表法分为A、B两组,每组各350例。A组在神经刺激器定位下行腰丛联合坐骨神经阻滞麻醉,B组采取腰硬联合阻滞麻醉,记录并比较患者术中生理功能、麻醉维持时间、术后感觉恢复时间、运动恢复时间以及术后首次排尿时间。结果:两组患者术中生理指标比较,A组患者的MAP、HR低于B组,两组比较差异有统计学意义(P<0.05);A组患者的麻醉起效时间、术后感觉恢复时间、运动恢复时间、术后首次排尿时间分别为(5.2±1.0)min、(3.7±1.3)h、(4.8±1.4)h、(3.2±0.2)h均短于B组的(14.8±1.3)min、(4.8±1.5)h、(5.3±1.8)h、(4.5±0.5)h,两组比较差异均有统计学意义(P<0.05)。结论:对膝关节镜手术患者在神经刺激器定位下采用罗哌卡因行腰丛联合坐骨神经阻滞的麻醉方法安全性高,术后恢复好,麻醉效果显著。
Objective： To explore and analyze the influence of combined lumbar plexus and sciatic nerve block by use of ropivacaine under nerve stimulator on patients with knee arthroscope operation.Method： 700 patients with knee arthroscopic operation were selected in our hospital, they were randomly divided into group A and B, 350 cases in each group. Group A was treated with combined lumbar plexus and sciatic nerve block under nerve stimulator, group B was took combined spinal and epidural anesthesia, patients＇ physiological function, maintenance of anesthesia time and postoperative sensory recovery time, motor recovery time and postoperative first micturition time were recorded and compared.Result： Compared the physiological index of two groups, the MAP and HR of group A were lower than the group B, the differences were statistically significant （ P〈0.05 ） .Anesthesia work time, postoperative sensory recovery time, sports recovery time and the first urine time of group A was respectively （ 5.2± 1.0 ） rain, （ 3.7 ±1.3 ） h, （ 4.8 ±1.4 ） h, （ 3.2 ±0.2 ） h, shorter than （ 14.8 ±1.3 ） min, （ 4.8 ±1.5 ） h, （ 5.3 ±1.8 ） h, （ 4.5 ±0.5 ） of group B, the differences were statistically significant （P〈0.05） .Conclusion： Patients with knee arthroscope operation use of ropivacaine under nerve stimulator combined lumbar plexus and sciatic nerve block has high safety and good postoperative recovery, its anesthesia effect is remarkable.
出处
《中国医学创新》
CAS
2015年第25期8-10,共3页
Medical Innovation of China
关键词
神经刺激器
膝关节镜手术
腰丛联合坐骨神经阻滞
Nerve stimulator
Knee arthroscopic operation
Combined lumbar plexus and sciatic nerve block
