超声引导下股神经阻滞对膝关节镜日间手术下肢运动功能影响.docVIP

超声引导下股神经阻滞对膝关节镜日间手术下肢运动功能影响 　　[摘要]目的 探析超声引导下股神经阻滞对膝关节镜日间手术下肢运动功能的影响。方法 选择2014年3月～2016年9月在我院收治的膝关节手术患者72例为研究对象，采用随机数字表法将其分为对照组、观察组，每组36例，观察组实施超声引导下股神经阻滞法、对照组实施腰麻法，术后统计分析并比较两组患者的VAS评分、口服止痛药时间、自我感受和膝关节功能。结果 全部患者均未出现术后并发症；观察组患者的术后3 h VAS评分低于对照组，差异有统计学意义（P0.05）；观察组患者口服止痛药时间短于对照组，差异有统计学意义（P0.05）；观察组患者术后14 d自我感觉良好率高于对照组，差异有统计学意义（P0.05）；术后6个月观察组患者HSS评分优良率高于对照组，差异性有统计学意义（P0.05）。结论 超声引导下股神经阻滞在膝关节镜日间手术中的应用效果良好，能促进患者膝关节功能恢复。 　　[关键词]超声；股神经阻滞；膝关节镜术；日间手术 　　[中图分类号] R614 [文献标识码] A [文章编号] 1674-4721（2017）12（c）-0078-03 　　[Abstract]Objective To investigate the effect of ultrasound-guided femoral nerve block combine with day-case arthroscopy surgery of knee on lower limb motor function.Methods The clinical date of 72 cases of patient undergoing day-case arthroscopy surgery of knee in our hospital from March 2014 to September 2016 were selected to analyzed.The random digital table was used to divide it into a control group and an observation group， with 36 cases in each group.Patient in trial group were anaesthetized by the ultrasound-guided femoral nerve block，cases in control group were given spinal anesthesia method. The VAS，days of taking anodyne， self perception and knee function of these two groups were analyzed and compared.Results All patients were no postoperative complications occurred；Observation group of patients with postoperative 3 h VAS score lower than the control group，the difference was statistically significant （P0.05）；Observation group of patients with oral analgesics time less than the control group，the difference was statistically significant （P0.05）；Self feeling good rate of patients in the observation group after 14 d operatioin was higher than that of the control group，the difference was statistically significant （P0.05）；6 months observation group of patients with postoperative HSS score was higher than that of control group，the difference was statistically significant（P0.05）.Conclusion Ultrasound-guided femoral nerve block is good for patient received day-ca