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首页> 外文期刊>Journal of Medical Imaging and Health Informatics >Ultrasound-Guided Femoral Nerve Block Anesthesia for Tibiofibular Fracture
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Ultrasound-Guided Femoral Nerve Block Anesthesia for Tibiofibular Fracture

机译：超声引导的股骨神经阻断胫腓骨骨折

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Objective: The intraspinal anesthesia is the main anesthesia method for the internal fixation of lower limb fracture. It is easy to cause pain aggravation during the process of puncture. Pre-anesthesia by femoral nerve block can reduce the pain of patients. Our purpose study is to complete the internal fixation of tibiofibular fracture through ultrasound-guided femoral nerve block, and to explore its anesthesia effect. Method: A total of 60 patients undergoing internal fixation and reduction of tibiofibular fractures in our hospital in recent years were randomly divided into control group (routine intraspinal anesthesia) and experimental group (addition ultrasound-guided femoral nerve block before intraspinal anesthesia). The localization of femoral nerve under ultrasound guidance was evaluated. The visual analog scale (VAS) of pain at the time of moving from delivery bed to operation bed (T-0) and the placement of intraspinal anesthesia (T-1) was emulated. The heart rate (HR), mean arterial pressure (MAP) and Blood oxygen saturation (SPO2) were recorded at the time of before operation bed (T-2), after operation bed (T-3) latent position during puncture (T-4). supine position after puncture immediately (T-5), and 3 min after puncture (T-6). The mini mental state examination scale (MMSE) were evaluated 2 h before operation (T-7) and 2 h after operation (T-8). Result: During the ultrasound guidance, the femoral nerve was the light-colored region of the inverted triangular hyperechoic area on the lateral side of the femoral artery. Compared with control group, the VAS score of T-1 and the HR and MAP of T-4-T-6 in the experimental group were significantly lower. Conclusion: Ultrasound-guided femoral nerve block is simple in location, and it is safe and reliable in anesthesia for the internal fixation of tibiofibular fracture.
机译：目的：脊椎麻醉是下肢骨折内固定的主要麻醉方法。在穿刺过程中易于引起疼痛恶化。股骨神经阻滞预感可以减少患者的疼痛。我们的目的研究是通过超声引导的股神神经阻滞完成胫骨骨折的内部固定，并探讨其麻醉效果。方法：近年来，我们院内接受内部固定和减少胫骨骨折的60名患者被随机分为对照组（常规管腔麻醉）和实验组（在内脊椎麻醉前加成超声引导的股神经块）。评估了超声引导下股神经的定位。仿真从输送床移动到手术床（T-0）时疼痛的视觉模拟量表（VAS），并仿料埋入麻醉（T-1）的放置。在穿刺期间的手术床（T-3）潜伏位置后，记录心率（HR），平均动脉压（MAP）和血氧饱和度（SPO2）（T- 4）。刺破后仰卧位（T-5），穿刺后3分钟（T-6）。在操作（T-8）之后，在操作前（T-7）和2小时，评估迷你精神状态检查量表（MMSE）2小时。结果：在超声引导期间，股骨神经是股动脉侧面倒三角形高档区域的浅色区域。与对照组相比，实验组T-4-T-6的VAS分数和T-4-T-6的地图显着降低。结论：位置较低的超声引导股骨神经阻滞在内部固定胫骨骨折内固定的麻醉中是安全可靠的。

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