| 楚双萍,朱忠权,蔡振,等.超声下髂筋膜神经阻滞对高龄股骨近端骨折患者血流动力与术后疼痛的影响[J].中国临床保健杂志,2022,25(2):218-221. |
| 超声下髂筋膜神经阻滞对高龄股骨近端骨折患者血流动力与术后疼痛的影响 |
| Effect of ultrasound-guided iliac fascia nerve block on hemodynamics and postoperative pain in elderly patients with proximal femoral fracture |
| 投稿时间：2021-12-14 |
| DOI：10.3969/J.issn.1672-6790.2022.02.018 |
| 中文关键词: 股骨骨折 神经传导阻滞 血流动力学 疼痛,手术后 肌力 老年人,80以上 |
| 英文关键词: Femoral fractures Nerve Block Hemodynamics Pain,postoperative Muscle strength Aged,80 and over 〖FL |
| 基金项目:浙江省医药卫生科技计划项目(2020KY345) |
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| 摘要点击次数: 1963 |
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| 中文摘要: |
| 目的 分析超声下髂筋膜神经阻滞对高龄股骨近端骨折患者的麻醉效果,及其对血流动力学与术后疼痛的影响,探讨一种安全、有效的麻醉方法,为临床提供参考依据。方法 选取金华市中心医院麻醉科2019年3月至2020年12月的100例高龄股骨近端骨折患者,根据不同麻醉方法将其分成PCB组与FICB组,每组50例。PCB组行超声下腰大肌神经阻滞麻醉,FICB组行超声下髂筋膜神经阻滞麻醉,对比2组的神经阻滞效果、血流动力学指标、术后疼痛以及股四头肌肌力评分。结果 FICB组运动、感觉的阻滞起效时间与恢复时间均短于PCB组,P<0.05；FICB组注药后5 min、注药后30 min、术毕时的动脉压均高于PCB组,心率均低于PCB组(P<0.05)；FICB组术后1、6、12、24 h的视觉模拟评分法(VAS)评分均低于PCB组,P<0.05；FICB组术后24、48、72 h的股四头肌肌力评分均高于PCB组(P<0.05)。结论 超声下髂筋膜神经阻滞对高龄股骨近端骨折患者的麻醉效果显著,神经阻滞效果佳,且患者术中血流动力学较稳定,术后疼痛轻微,有助于患肢股四头肌肌力恢复。 |
| 英文摘要: |
| Objective To analyze the anesthetic effect of ultrasound-guided iliac fascia nerve block on elderly patients with proximal femoral fracture,and its effect on hemodynamics and postoperative pain,and to explore a safe and effective anesthesia method to provide clinical reference.Methods A total of 100 elderly patients with proximal femoral fracture in the Department of Anesthesiology,Jinhua Central Hospital from March 2019 to December 2020 were selected and divided into PCB group and FICB group according to different anesthesia methods,with 50 patients in each group.Results The onset time and recovery time of motor and sensory block in FICB group were shorter than those in PCB group (P<0.05).The arterial pressure of FICB group was higher than that of PCB group at 5 min and 30 min after injection,and the heart rate was lower than that of PCB group P<0.05.The visual analog scale (VAS) score of FICB group was lower than that of PCB group at 1,6,12 and 24 h postoperatively,(P<0.05).The muscle strength score of quadriceps femoris in FICB group was higher than that in PCB group at 24,48 and 72 h after the operation (P<0.05).Conclusions Ultrasound-guided iliac fascia nerve block has a significant anesthetic effect on elderly patients with proximal femoral fracture,with good nerve block effect,stable intraoperative hemodynamics and mild postoperative pain,which is helpful to recover the muscle strength of the affected limb quadriceps femoris. |
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