超聲引導(dǎo)髂筋膜腔隙阻滯的臨床分析

超聲引導(dǎo)髂筋膜腔隙阻滯的臨床分析

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時(shí)間:2019-02-20

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1、AbstractClinicalstudyofultrasound-guidedfasciailiaccompartmentblockParttwo:60patients,theASAI~ⅡI,scheduledfortotalhiparthroplastyundersubarachnoidanesthesiawererandomlydividedinto2groups:supra—inguinalfasciailiacacompartmentblock(groupA,n=30)andinfra-i

2、nguinalfasciailiacacompartmentblock(groupB,n230).Thepatientsineachgroupwerescheduledtoreceivethecontinuousultrasound-guidedFICBbycatheter,whichwasconnectedwiththePCAdevice.Atotalvolumeof20mldifferentconcentrationsofropivacainewasinjectedbythecatheter.T

3、hePCAdeliverymodewasprogrammedtodeliver10mlropivacainewithalockouttimeof60minutes.Theanalgesiawascontinuedfor72hours.IftheRVASscorewasabove4,theDynastat40mgshouldadditionalusedbyintravenousTheRVASscoresatthetimebeforetheFICB(Oh)and3h,6h,12h,24h,48h,72h

4、aftertheFICBwererecorded.ThePVASscoresatl2h,24h48h,72handtheIVASscoresat12h,24h,48h,72haftertheFICBwerealsorecorded.Theconsumptionofropivacaineat3h,6h,12h,24h,48h,72h.AdversereactionsandpatientsatisfactionsaftertheFICBwerealsorecorded.ResultsPartone:20

5、rainafterfasciailiaccompartmentinjection,al、bl、a2、b2completelyblockratewere100%;Clwasonly5percentcompletelyblock,a3、c2、c3、b3completelyblockrateincreased,butwerenotupto100%.Parttwo:TherewasnosignificantdifferenceintheASA,sex,age,,thebodymassindexandtheo

6、perationtimeamongthefourgroups(尸>O.05).TheRVASscore,thePVASscoreandtheIVASscorewerenosignificantdifference(P>0.05);Patientswithnauseaandvomitingwaslow,therewasnosignificantdifferencebetweenthesetwogroups(P>0.05).ComparedwithgroupB,in3hand6hropivacained

7、osageingroupAwereundifferentiated(P>0.05),remainingateachtimepointwithavolumeoflessthanropivacaineingroupB,thedifferencewasstatisticallysignificant(P

8、nificant(P>O.05)ConclusionsIVClinicalstudyofultrasound·guidedfasciailiaccompartmentblockAbstractPartone:Theultrasound-—guidedsupra--inguinalFICBwith0.25%ropivacaine30mlcanblocktheanteriorlateralandmedialthighpainnearthecalfarea,whichis,

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