摘要
目的:探讨右美托咪定腰丛-坐骨神经阻滞麻醉对胫腓骨骨折患者镇静效果及苏醒质量的影响。方法:选择2019年3月-2020年3月本院接收的81例胫腓骨骨折患者,采用随机数字表法将其分为对照组(40例)与观察组(41例)。对照组采用达唑仑腰丛-坐骨神经阻滞麻醉,观察组采用右美托咪定腰丛-坐骨神经阻滞麻醉。记录两组血流动力学指标、苏醒质量及不良反应。结果:于T_(1)、T_(2)时间段,两组SpO_(2)水平较T_(0)时均降低,MAP、HR水平较T_(0)时均升高,且观察组SpO水平均高于对照组,MAP、HR水平均低于对照组,差异均有统计学意义(P<0.05);于T3、T4时间段,两组SpO_(2)、MAP、HR水平均呈逐渐恢复状态,且观察组SpO_(2)水平均高于对照组,MAP、HR水平均低于对照组,差异均有统计学意义(P<0.05)。观察组自主呼吸恢复与苏醒时间均比对照组短,差异均有统计学意义(P<0.05)。观察组不良反应发生率比对照组低,但两组比较差异无统计学意义(P>0.05)。结论:对胫腓骨骨折患者采用右美托咪定腰丛-坐骨神经阻滞麻醉的镇静效果显著,血流动力学稳定,可缩短自主呼吸恢复时间及苏醒时间,且未增加不良反应,值得借鉴。
Objective:To investigate the effect of Dexmedetomidine lumbar plexus-sciatic nerve block anesthesia on the sedative and recovery quality of patients with tibiofibular fracture.Method:A total of 81 patients with tibiofibular fractures admitted to our hospital from March 2019 to March 2020 were selected,they were divided into control group(40 cases)and observation group(41 cases)by random number table method.The control group was anestheted with Dazolam lumbar plexus-sciatic nerve block,while the observation group was anestheted with Dexmedetomidine lumbar plexus-sciatic nerve block.Result:At T_(1) and T_(2),SpO_(2) levels in both groups decreased compared with T_(0),MAP and HR levels increased compared with T_(0),SpO_(2) levels in the observation group were higher than those in the control group,MAP and HR levels were lower than those in the control group,the differences were statistically significant(P<0.05);in the time period of T3 and T4,the SpO_(2),MAP,and HR levels of the two groups showed a gradual recovery state,the SpO_(2) level of the observation group was higher than that of the control group,MAP and HR levels of the observation group were lower than the control group,the differences were statistically significant(P<0.05).The spontaneous breathing recovery and wake-up time of the observation group were shorter than those of the control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,but the difference between the two groups was not statistically significant(P>0.05).Conclusion:Dexmedetomidine lumbar plexus-sciatic nerve block anesthesia for patients with tibia and fibula fractures has a significant sedative effect,stable hemodynamics,can shorten the recovery time and recovery time of spontaneous breathing without increasing adverse reactions,it’s worth learning.
作者
杨妍蓉
YANG Yanrong(Jiamusi Hospital of Traditional Chinese Medicine,Jiamusi 154002,China)
出处
《中国医学创新》
CAS
2021年第1期23-26,共4页
Medical Innovation of China
关键词
胫腓骨骨折
右美托咪定
腰丛-坐骨神经阻滞麻醉
镇静效果
苏醒质量
Tibiofibular fracture
Dexmedetomidine
Lumbar plexus-sciatic nerve block anesthesia
Sedative effect
Recovery quality
