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袁文强.超声导引下神经阻滞在闭合复位PFNA内固定术中的应用[J].中国医药科学,2018,(3):173-176        基金项目:广东省河源市社会发展科技计划项目(河科[2017]65 号)
超声导引下神经阻滞在闭合复位PFNA内固定术中的应用
The application of ultrasonic guided nerve block in closed reduction and PFNA internal fixation
  
DOI:
中文关键词:  麻醉;闭合复位 PFNA 内固定术;神经阻滞;超声
英文关键词:Anesthesia;Closed reduction and PFNA internal fixation;Nerve block;Ultrasonic
作者单位
袁文强 广东省龙川县中医院 
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中文摘要:
      目的 在闭合复位 PFNA 内固定术中采取超声导引下神经阻滞,分析其效果。 方法 研究所选对象为62 例单侧股骨粗隆间骨折患者,于本院就诊时间为 2016 年 9 月~ 2017 年 8 月。以自愿为前提进行分组,行超声导引下神经阻滞 31 例患者为研究组,行腰硬联合麻醉 31 例患者为对照组,分析具体的使用效果。 结果 经比较分析,研究组患者股外侧皮神经、闭孔神经、隐神经、股神经阻滞起效及麻醉诱导时间均短于对照组;阻滞后 5、20min 时两组血压变化差异明显,研究组较高;研究组患者术后镇痛时间、肛门排气时间两项指标均优于对照组;对照组不良反应发生率 16.13% 明显高于研究组的 0.00%,且组间指标差异有统计学意义(P < 0.05)。 结论 超声导引下神经阻滞具有可靠性与安全性较高的优点,其联创应用价值交稿,适合在闭合复位 PFNA 内固定术中普及。
英文摘要:
      Objective To evaluate the effect of ultrasound-guided nerve block in closed reduction and PFNA internal fixation. Methods Sixty-two patients with unilateral femoral intertrochanteric fractures were selected and treated in our hospital from September 2016 to August 2017.On the premise of voluntary grouping,31 patients with ultrasound-guided nerve block as the study group,31 patients with combined spinal-epidural anesthesia as the control group,and the specific effect was analyzed. Results After comparative analysis,the effects of the lateral femoral cutaneous nerve,the obturator nerve,the saphenous nerve,the femoral nerve block and the anesthesia induction time of the study group were shorter than those of the control group.The changes of blood pressure in the two groups were significantly different at 5 min and 20 min after block,and the study group was higher.The two indexes of postoperative analgesia time and anus exhaust time in the study group were superior to those of the control group.The incidence of adverse reactions in the control group was 16.13%,significantly higher than that of the study group (0.00%),and there was a significant difference between the groups (P < 0.05). Conclusion Ultrasound guided nerve block has the advantage of high reliability and safety.It has high application value and is suitable for popularizing in closed reduction and PFNA internal fixation.
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