摘要
目的探讨老年患者下肢手术超声下外周神经阻滞价值。方法选取2016年4月—2017年4月我院收治的90例老年下肢手术患者作为研究对象。采用数字表法分组。传统阻滞组用传统外周神经阻滞,超声阻滞组进行超声下外周神经阻滞。比较两组患者的麻醉效果;麻醉副作用;干预前后患者动脉血氧含量、收缩压以及舒张压水平。麻醉起效的时间、痛觉阻滞起效的时间。结果超声阻滞组效果高于传统阻滞组(P<0.05);超声阻滞组麻醉副作用低于传统阻滞组(P<0.05);干预前,两组动脉血氧含量、收缩压以及舒张压水平比较,差异无统计学意义(P>0.05);干预后,超声阻滞组动脉血氧含量、收缩压以及舒张压水平优于传统阻滞组(P<0.05)。超声阻滞组麻醉起效的时间、痛觉阻滞起效的时间短于传统阻滞组(P<0.05)。结论超声下外周神经阻滞在老年患者下肢手术麻醉中的效果确切,缩短麻醉起效的时间,减少副作用。
Objective To investigate the value of peripheral nerve block under ultrasound in elderly patients undergoing lower limb surgery. Methods 90 cases of elderly patients with lower extremity surgery admitted to our hospital from April 2016 to April 2017 were selected as the subjects of study. Digit table method was used for grouping. In the traditional block group, the peripheral nerve was blocked by the traditional peripheral nerve block, and in the ultrasound block group, the peripheral nerve was blocked by ultrasound. The anesthesia effect, the side effects of anesthesia were compared between the two groups. The arterial oxygen content, systolic blood pressure and diastolic blood pressure were measured before and after intervention. The onset time of anesthesia and pain block were compared. Results The effect of ultrasound block group was higher than that of traditional block group (P < 0.05), and the side effects of anesthesia in ultrasound block group were lower than that in traditional block group (P < 0.05). Before intervention, there was no significant difference in arterial oxygen content, systolic blood pressure and diastolic blood pressure between the two groups (P > 0.05). After intervention, the arterial oxygen content, systolic blood pressure and diastolic blood pressure in ultrasound block group were better than those in traditional block group (P < 0.05). The onset time of anesthesia and pain block in ultrasound block group was shorter than that in traditional block group (P < 0.05). Conclusion Ultrasound peripheral nerve block is effective in anesthesia of lower extremity surgery in the elderly, shortening the time of anesthesia and reducing side effects.
作者
赵培培
ZHAO Peipei(Anesthesiology Department,General Hospital of Chongqing Nantong Mining Co.,Ltd.,Chongqing 400800,China)
出处
《中国继续医学教育》
2019年第18期80-82,共3页
China Continuing Medical Education
关键词
老年人
下肢手术
超声
外周神经阻滞
效果
传统外周神经阻滞
elderly people
lower extremity surgery
ultrasound
peripheral nerve block
effect
traditional peripheral nerve block
