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时间:2020-05-09
《超声引导神经刺激仪在臀下入路坐骨神经阻滞麻醉中的应用研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·238·海军医学杂志2015年5月第36卷第3期JournalofNavyMedicine,Vo1.36,No.3,May2015..临床医学.论著.超声引导神经刺激仪在臀下入路坐骨神经阻滞麻醉中的应用研究黄连军,秦晓辉[摘要]目的研究超声引导神经刺激仪在臀下入路坐骨神经阻滞麻醉中的临床应用效果。方法50例足部手术患者,按照数字表法随机分为2组。对照组与观察组每组25例,对照组采用常规神经刺激仪经臀下入路进行坐骨神经阻滞麻醉,观察组在超声引导下辅助神经刺激仪行臀下入路坐骨神经阻滞麻醉,2组穿刺成功后均注入0.4%罗哌卡因25ml,观察2组患者的穿刺次数
2、(2.54-1.0)次、药物起效时间(14.2±6.1)min以及穿刺成功率。结果观察组的穿刺次数、药物起效时间均明显小于神经刺激仪引导组(P<0.01),但2组麻醉阻滞效果差异无统计学意义(P>0.05)。结论超声引导神经刺激仪在臀下人路坐骨神经阻滞中,穿刺次数、药物起效时间优于单纯使用神经刺激仪麻醉,可在临床中推广应用。[关键词]超声;神经刺激仪;坐骨神经阻滞[中图分类号]R782.1[文献标识码]A[D0I]10.3969/j.issn.1009—0754.2015.03.016Applicationofultrasound-guidedperip
3、heralnervestimulatorl---insubglutealIsScCilaticCnerveblockingHuangLianjun,QinXiaohui(DepartmentofAnesthesia,GeneralHospitalofCPLA,Beijing100853,China)[Abstract]ObjectiveToinvestigatetheeffectofsubglutealsciaticnerveblockingbyultrasound—guidedperipheralnervestimulator.MethodsFifty
4、surgicalpatientswhoreceivedfootsurgerywererandomlydividedintotwogroups,thecontrolgroupandtheobservationgroup,eachconsistingof25patients.Thepatientsinthecontrolgrouphadsciaticnerveblockingbyusingconventionalnervestimulator,whilethepatientsintheobservationgroupreceivedsciaticnerveb
5、lockingbysubglutealsciaticnerveblockingbyultra·sound—guidedperipheralnervestimulator.Uponcompletionofpuncture.thepatientsinthe2groupswereinjectedwith0.4%ropiva—cain(25m1).Then,observationsweremadeonthenumberofpuncture,theonsettimeofmedicationandSuccessrateofpunctureinthe2groups.R
6、esultsThenumberofpunctureandtheonsettimeofmedicationintheobservationgroupwereobviouslylowerthanthoseofthepatientswithconventionalnervestimulator(P<0.01),however,nostatisticalsignificancecouldbenotedintheeffectofnerveblocking,whencomparisonsweremadebetweenthe2groups(P>0.05).Conclu
7、sionSubglutealsciaticnerveblockingbyul—trasound—guidedperipheralnervesimulatorwassuperiortosubglutealsciaticnerveblockinginthenumberofpunctureandtheonsettimeofmedication,andwasworthfurtherclinicalextension.[Keywords]Uhrasonography;Peripheralnervestimulator;Sciaticnerveblock坐骨神经阻滞
8、有多种方法,近端坐骨神经阻滞年来,超声在区域阻滞中的应用大幅增加_2引,笔者有经
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