Combined anesthesia of lumbar plexus-sciatic nerve and superior clunial nerve versus spinal-epi-dural analgesia in total hip replacement:an observation of clinical effects
10.3969/j.issn.1005-6483.2016.09.022
- VernacularTitle:腰丛-坐骨神经联合臀上皮神经阻滞麻醉与腰麻硬膜外联合麻醉用于髋关节置换术的临床效果观察
- Author:
Lei LIU
;
Juan DING
;
Jingwei LIU
- Publication Type:Journal Article
- Keywords:
combined anesthesia of lumbar plexus-sciatic nerve and superior clunial nerve;
buttock epithelial nerve block anesthesia;
combined spinal-epidural anesthesia;
hip replacement
- From:
Journal of Clinical Surgery
2016;24(9):706-708
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effects of combined anesthesia of lumbar plexus-sciatic nerve and superior clunial nerve versus spinal-epidural analgesia in total hip replacement. Methods Fifty cases of total hip replacement were randomly divided into two groups. Patients in group A received combined anesthesia of lumbar plexus-sciatic nerve and superior clunial nerve,while patients in group B received spinal-epidural analgesia. Results There were no significant differences in preoperative HR, SBP,DBP and SpO2 between the groups(P > 0. 05). Compared with pre-anesthesia data,HR,SBP,DBP in group A were significantly lower during the anesthesia(P < 0. 05). In group B,there were no significant changes in HR,SBP,DBP and SpO2 during the anesthesia( P > 0. 05). Patients′ heart rate in group A showed significant changes compared with that in group B. The differences in HR,SBP and DBP between group A and B at the same time points were significant(P < 0. 05). Superior rate of anesthesia in group B is higher than that in group A(P < 0. 05). Conclusion Combined anesthesia of lumbar plexus-sciatic nerve and superior clunial nerve has limited influence on the circulatory and respiratory systems,which can be used for total hip replacement.
