Application value of ultrasound guided lumbar plexus sciatic nerve block anesthesia in elderly patients with hip replacement
10.3760/cma.j.issn.1008-6706.2018.23.008
- VernacularTitle:超声引导下腰丛-坐骨神经阻滞在高龄患者半髋关节置换术麻醉中的应用价值
- Author:
Peihong XU
1
;
Jianwei XIE
;
Jinggang CHEN
Author Information
1. 台州骨伤医院麻醉科
- Keywords:
Arthroplasty,replacement,hip;
Anesthesia;
Sciatic nerve;
Nerve block;
Ultrasonography,interventional;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(23):3020-3023
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of ultrasound guided lumbar plexus sciatic nerve block anesthesia in elderly patients undergoing hip replacement.Methods From June 2015 to June 2016,84 elderly patients in Taizhou Bone Injury Hospital received hip replacement were randomly divided into 2 groups according to the digital table,with 42 patients in each group.The control group received epidural anesthesia ,the observation group received ultrasound guided lumbar plexus sciatic nerve block anesthesia .The occurrence of adverse reaction ,hemody-namic changes and the effect of anesthesia were observed in the two groups .Results In the control group,the SBP, DBP levels at T2,T3,T4,T5 were lower than those at T0 (t＝3.998,4.042,3.768,3.974,4.505,4.276,4.022, 4.076,all P＜0.05).In the observation group,the SBP,DBP levels at different time had no statistically significant changes(all P＞0.05).The SBP,DBP levels at T2,T3,T4,T5 in the observation group were higher than those in the control group (t＝3.667,3.839,3.997,3.654,3.330,3.675,3.759,3.885,all P＜0.05).The excellent and good rate of anesthesia effect in the observation group was 95.24%,which was significantly higher than 78.57% in the control group,and the difference was statistically significant (χ2＝12.209,P ＜0.05).Conclusion Ultrasound guided lumbar plexus sciatic nerve block anesthesia for elderly patients underwent hip replacement has good effect , and has no obvious influence on hemodynamics ,and with less adverse reactions.
