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足踝部手术中坐骨神经阻滞麻醉的应用及护理

机译:足踝部手术中坐骨神经阻滞麻醉的应用及护理

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Abstract:Objective To investigate the application value of sciatic nerve block assisted by ultrasound and never stimulator for patients with ankle surgery and to summarize related nursing measures. Methods 〓Totally 80 patients undergoing ankle surgery were randomly divided into the observation group(n=40)and the control group(n=40). The sciatic nerve block assisted by ultrasound and never stimulator was adopted in the observation, and the sciatic nerve block assisted by never stimulator was conducted in the control group. Both two groups received targeted nursing care during operation period. The blood pressure of patients was recorded before anesthesia and 5, 15, 30 minutes after anesthesia. The onset time and maintenance of anesthesia of sensory block and motor nerve block were compared between two groups. Results 〓There was a decreased fluctuation of blood pressure in control group, and blood pressure was lower in the control group than that of observation group at 5, 15, 30 minutes after anesthesia(P0.01). In terms of sensory block and motor nerve block, the observation group had a earlier onset time(P0.05), and longer maintenance of anesthesia(P0.01), compared with those of controls. Conclusion Application of ultrasound and never stimulator assisted sciatic nerve block could improve the anesthesia effect in ankle surgery. It is also required to carry out targeted nursing during operation period, in order to prevent anesthesia related complications.
机译:摘要:目的探讨超声和永不刺激辅助坐骨神经阻滞在踝关节手术中的应用价值,并总结相关的护理措施。方法〓将80例踝关节手术患者随机分为观察组(n = 40)和对照组(n = 40)。观察采用超声辅助永不刺激的坐骨神经阻滞,对照组进行神经永不刺激的坐骨神经阻滞。两组均在手术期间接受了有针对性的护理。在麻醉前和麻醉后5、15、30分钟记录患者的血压。比较两组感觉神经阻滞和运动神经阻滞的发作时间和麻醉维持情况。结果〓麻醉后5、15、30分钟,对照组血压波动有所降低,对照组血压低于观察组(P <0.01)。与对照组相比,观察组在感觉阻滞和运动神经阻滞方面具有更早的发作时间(P <0.05)和更长的麻醉维持时间(P <0.01)。结论超声绝不刺激坐骨神经阻滞可以改善踝关节手术的麻醉效果。还需要在手术期间进行有针对性的护理,以防止麻醉相关的并发症。

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