协和医学杂志 , Medical Journal of Peking Union Medical College Hospital, 编辑部邮箱 , 2011年04期 【作者】 阮侠; 徐仲煌;
【Author】 RUAN Xia,XU Zhong-huang Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing 100730,China
【机构】 中国医学科学院北京协和医学院北京协和医院麻醉科;
【摘要】 目的评估腰丛+坐骨神经联合椎旁神经阻滞在人工髋关节置换术中的应用价值。方法回顾性分析34例行人工髋关节置换手术的患者,根据不同麻醉方式分为全身麻醉组(GA组)、硬膜外组(EA组)和外周神经阻滞组(NB组),NB组进一步分为腰丛+坐骨神经阻滞组(LS组)和腰丛+坐骨神经+椎旁神经阻滞组(PVB),比较各组患者的围手术期情况。结果 NB组患者平均年龄和术前合并疾病发生率明显高于其他两组(P<0.05),NB组患者术中收缩压、舒张压和心率最大变化率分别为13.9%±6.1%、15.8%±8.2%和14.0%±4.7%,明显低于GA组的21.6%±7.0%、23.3%±7.2%和23.3%±7.8%(P<0.05)。NB组患者术中芬太尼使用量为(103.8±42.7)μg,显著低于GA组的(295.0±55.4)μg(P<0.05)。与LS组比较,PVB组患者收缩压和舒张压的最大变化率显著减低,分别为9.0%±3.4%vs.18.8%±3.3%和9.0%±4.1%vs.22.5%±4.2%(P<0.05);芬太尼用量减少,PVB组为(87.5±47.9)μg,LS组为(... 更多还原
【Abstract】 Objective To evaluate the value of lumber plexus + sciatic nerve + paravertebral nerve block as an anesthesia technique for hip arthroplasty surgery.Methods We retrospectively analyzed the peri-operative data of 34 patients scheduled for a hip arthroplasty surgery.According to the different anesthesia techniques applied,patients were divided into 3 groups:general anesthesia(GA) group,epidural anesthesia(EA) group,and nerve block(NB) group.Patients in NB group were further divided into lumber ple... 更多还原 【关键词】 外周神经阻滞; 椎旁神经阻滞; 髋关节置换术; 【Key words】 peripheral nerve block; paravertebral nerve block; hip arthroplasty; 【分类号】R614
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