International Journal of Clinical Research
International Journal of Clinical Research. 2022; 6: (8) ; 10.12208/j.ijcr.20220387 .
总浏览量: 288
志丹县人民医院 陕西延安
*通讯作者： 张怀刚,单位：志丹县人民医院 陕西延安；
目的 探究超声引导肩胛上神经阻滞联合全身麻醉处理在关节镜下进行肩袖损伤修复的麻醉效果。方法 选取2020年11月-2021年11月期间在我院采取关节镜下肩袖损伤修复术治疗的58例肩袖损伤患者，进行随机分组。对照组全身麻醉下。研究组超声引导肩胛上神经阻滞联合全身麻醉。结果 术后，研究组患者收缩压、心率、VAS 评分明显低于对照组，P<0.05有统计学意义。结论 超声引导肩胛上神经阻滞联合全身麻醉应用于关节镜下肩袖损伤修复术中，能降低患者术后疼痛，可在临床中积极推广。
Objective: To explore the anesthetic effect of ultrasound-guided supra scapular nerve block combined with general anesthesia in arthroscopic repair of rota-tor cuff injury. Methods: A total of 58 patients with rota-tor cuff injury who underwent arthroscopic repair of rota-tor cuff injury in our hospital from November 2020 to November 2021 were selected and randomly divided into two groups. The control group was under general anesthesia. Study group ultrasound-guided supra scapular nerve block combined with general anesthesia. Results: After operation, systolic blood pressure, heart rate and VAS score of the study group were significantly lower than those of the control group (P<0.05). Conclusion : Ultrasound-guided supra scapular nerve block combined with general anesthesia can reduce postoperative pain in arthroscopic rota-tor cuff injury repair, which can be actively promoted in clinical practice.
[1] 宋峰,徐粤新,马姗姗,等.超声引导下选择性神经阻滞在肩关节镜术后镇痛的临床应用[J].骨科,2019, 10(5): 452-456.
[2] 姚菊,黄红芳,黄赛赛,等.肩胛上神经阻滞在肩关节镜下肩袖损伤修复术患者中的应用效果[J].天津医药,2019, 47(8):851-854.
[3] 张代玲,冯树全,邵安民.喷他佐辛-罗哌卡因臂丛阻滞复合全身麻醉用于肩关节镜手术围术期效果[J].现代仪器与医疗,2016,22(3):84-85.
[4] 张凯,邓迎杰,方锐,等.肩胛上神经阻滞联合镇痛对肩关节镜下肩袖修复术镇痛效果观察[J].临床药物治疗杂志,2017,15(7):68-69.
[5] 李晓声．臂丛神经阻滞复合全身麻醉在老年患者肩关节术的应用[J].航空航天医学杂志,2019,26(7):805-807.
[6] 姜慧丽,武茜,汤洋,等.超声引导下前路肩胛上神经阻滞在肩关节镜手术镇痛中的应用[J].临床麻醉学杂志,2017, 33(12): 1192-1195.
[7] 刘永彬,李彦平,罗克金,等.肩胛上神经联合肩胛背神经阻滞治疗颈肩部疼痛综合征的临床观察[J].临床和实验医学杂志,2019,15(9):892-894.
[8] 曹世超,王静成,颜连启,等.肩关节镜引导下肩胛上神经阻滞在肩袖损伤术后镇痛中的疗效分析[J].中国内镜杂志,2019,25(11):55-60.
[9] 李卫彦,王鹏.肩胛上神经阻滞联合镇痛在肩关节镜下肩袖修复术疼痛管理中的应用[J].中国医刊,2017, 52(7): 45-46.