【摘要】 目的分析研究神经刺激器联合超声引导下行连续坐骨神经阻滞在跟骨骨折术后镇痛中的应用价值。方法收集2015年3月—2017年4月期间收治的跟骨骨折患者,选择其中40例在静吸复合麻醉下行跟骨骨折切开复位内固定术患者作为对象,术毕随机分为超声联合神经刺激器引导下连续坐骨神经自控镇痛组(研究组)和静脉自控镇痛组(对照组),每组20例,观察术后静止和运动时疼痛评分,记录患者术后其他镇痛药物使用情况和不良反应发生情况。结果研究组,静止痛NRS为0~2分,平均(1.1±0.21)分,运动痛0~3分,平均(1.6±0.43)分,未使用其它镇痛药物,无不良反应。对照组,静止痛NRS为3~6分,平均(4.8±0.73)分,运动痛5~7分,平均(5.9±0.61)分,需使用其它镇痛药物,恶心呕吐反应多。组间对比,差异有统计学意义(P<0.05)。结论跟骨骨折手术,神经刺激器联合超声引导下,行连续坐骨神经阻滞,镇痛效果显著,值得推广。更多还原

【Abstract】 Objective To research and analyze the application value of nerve stimulator and ultrasound-guided continuous sciatic nerve block in the analgesia after the calcaneus fracture surgery. Methods 40 cases of calcaneal fracture patients from March 2015 to April 2017 with open reduction and internal fixation for calcaneal fracture under the intravenous-inhalation combined anesthesia and randomly divided into two groups with 20 cases in each after surgery, including the research group(ultrasound and nerve stimulator-guided continuous sciatic nerve block) and the control group(patient-controlled intravenous anesthesia), and the pain scores at rest and motion after surgery were observed and the use of other analgesic drugs and occurrence of adverse reactions of patients were recorded. Results In the research group, the rest pains was 0~2 points,(1.1±0.21)points on average, and the motion pains was 0~3 points,(1.6±0.43)on average, and other analgesic drugs were not used, without adverse reactions, in the control group, the rest pain was 3~6 points,(4.8±0.73)points on average, the motion pain was 5~7 points,(5.9±0.61)points on average, and we need to use other analgesic drugs, and the nausea and vomiting reactions were most, and the differences between groups were obvious with statistical significant(P <0.05). Conclusion The effect of nerve stimulator and ultrasound-guided continuous sciatic nerve block in the analgesia after the calcaneus fracture surgery is obvious, which is worth promotion.更多还原