Impacts of dexmedetomidine combined with dizosin on sciatic nerve-femoral nerve block in diabetes foot patients undergoing surgery
10.3760/cma.j.cn115807-20230215-00039
- VernacularTitle:右美托咪定联合地佐辛对糖尿病足手术患者坐骨神经股神经阻滞效果的影响
- Author:
Xiaorui JIANG
1
;
Juan WU
;
Hongfeng LI
;
Liling JIA
Author Information
1. 山西医科大学第二医院麻醉科，太原 030001
- Keywords:
Diabetes foot;
Dizosin;
Dexmedetomidine;
Sciatic nerve-femoral nerve block;
Blood glucose
- From:
Chinese Journal of Endocrine Surgery
2024;18(3):363-366
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the impacts of dexmedetomidine combined with dizosin on sciatic nerve-femoral nerve block and blood glucose in diabetes foot patients undergoing surgery.Methods:A total of 120 diabetes foot patients underwent surgery who were admitted to Second Hospital of Shanxi Medical University from Jul. 2020 to Aug. 2022 were selected as the research objects. The anesthesia method was sciatic nerve block-femoral nerve block, and were randomly grouped into the control group (60 cases) and the observation group (60 cases). The control group was treated with diazosin, while the observation group was treated with dexmedetomidine combined with diazosin. The effects of sciatic nerve block and femoral nerve block, and blood glucose level were compared between the two groups.Results:The VAS scores at T1, T2 and T3 in the two groups were obviously lower than those at T0, and the VAS scores in the observation group were obviously lower than those in the control group ( P<0.05). The onset time of motor nerve block and sensory nerve block in the observation group was obviously lower than that in the control group ( P<0.05). The maintenance time of motor nerve and sensory nerve in the observation group was obviously higher than that in the control group ( P<0.05). Compared with T0, systolic blood pressure, diastolic blood pressure and heart rate in T1, T2 and T3 time periods in the two groups were obviously lower, and the observation group were obviously lower than the control group ( P<0.05) ; The observation group had no significant difference compared with the control group in terms of the incidence of adverse reactions. Conclusion:Dexmedetomidine combined with dizosin can effectively relieve pain, improve nerve function block, and maintain the stability of hemodynamics in diabetes foot patients undergoing surgery.
