Clinical effect of nerve stimulator combined with low back plexus sciatic nerve block for the arthroscopy anesthesia
10.3969/j.issn.1006-5725.2014.19.014
- VernacularTitle:神经刺激器下腰丛联合坐骨神经阻滞对膝关节镜手术麻醉效果的影响
- Author:
Na ZHAO
- Publication Type:Journal Article
- Keywords:
Nerve stimulation;
Lumbar plexus combined with sciatic nerve block;
Arthroscopic surgery;
Anesthesia effect;
Clinical effect
- From:
The Journal of Practical Medicine
2014;(19):3076-3078
- CountryChina
- Language:Chinese
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Abstract:
Objective To study the clinical effect of nerve stimulator combined with low back piexus sciatic nerve block for the arthroscopic surgery anesthesia. Methods 86 patients who required the arthroscopic surgery from March 2010 to March 2013 in our hospital were randomly divided into observation group (43 cases) and control group (43 cases). The observation group accepted nerve stimulator combined with low back plexus sciatic nerve block under the arthroscopic surgery;the control group adopted waist hard joint anesthesia during the arthroscopic surgery. Data of hemodynamics, effects of anesthesia, anesthesias maintaining time, rehydration fluids and adverse effect in both groups were recorded and compared. Results The time for preparation and control of anesthesia operation (Tr), time for feeling completely block (T1), time for recovery (T2), time for completely blocking (T3), time for movement recovery (T4) in observation group were significantly shorter than that of the observation group (P<0.05); the first time of urination (Tu) after operation was significantly longer in control group than that in the observation group (P < 0.05); MAP in the control group were lower than that in the observation group 20 minutes after anesthesia (T20,P < 0.05); complications in the control group were more frequent than that in the observation group. Conclusion The clinical effect of nerve stimulator combined with low back plexus sciatic nerve block for the arthroscopic surgery anesthesia is more obvious , especially for patients with relatively long operating time.
