超声引导下不同坐骨神经阻滞入路用于膝关节置换术中的阻滞效果比较

doi:10.3969/j.issn.1671-7171.2023.06.012

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Abstract 【Objective】 To compare the effects of different sciatic nerve block approaches guided by ultrasound on knee replacement (TKA). 【Methods】 A total of 108 patients with TKA who were admitted to our hospital were enrolled in the study. According to the different sciatic nerve block approaches,the patients were divided into four groups,with 27 cases in each group. The four groups were group A (inferior gluteal space approach),group B (anterior mid-thigh approach),group C (inferior lateral greater trochanter approach) and group D (upper lateral popliteal fossa approach). The related indexes of sciatic nerve block,hemodynamic indexes [mean arterial pressure (MAP),diastolic blood pressure (DBP),heart rate (HR)] at different time points,visual analog score (VAS) of resting and active pain at different time points after surgery,and the incidence of complications in the four groups were observed and compared. 【Results】 In terms of operation time,the procedure length was in the order of group B < group D < group C < group A,and there were statistically significant differences among all groups (P<0.05). The number of puncture times in groups B and D were less than those in groups A and C,and the difference was statistically significant (P<0.05). The puncture depth of group D was less than that of group A,C,and B,while the puncture depth of group A and C was less than that of group B (P<0.05). There were no significant differences in the onset time and duration among the four groups (P>0.05). The success rate of nerve block in group D was higher than that in groups A,B and C (P<0.05),however,there was no statistical significance among groups A,B and C (P>0.05). There were no significant differences in hemodynamic indexes at different time points and VAS scores at both resting and active time points among the four groups (P>0.05). There was no significant difference in the total incidence of postoperative complications among the four groups (P>0.05). 【Conclusion】 In TKA,the sciatic nerve block effects under the middle thigh anterior approach and the upper lateral approach of popliteal fossa guided by ultrasound are better approaches,which can be used as an optimization scheme for clinical anesthesia.

Key words： Arthroplasty,Replacement,Knee Nerve Block/MT

Received: 15 August 2022

PACS:

R684.76

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	Articles by authors
	BAI Xiao-bo
	MIN Li-yuan
	JIA Ben-zhi

Cite this article:

BAI Xiao-bo,MIN Li-yuan,JIA Ben-zhi. Comparison of Different Ultrasound-guided Sciatic Nerve Block Approaches for Knee Replacement[J]. JOURNAL OF CLINICAL RESEARCH, 2023, 40(6): 841-844.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2023.06.012 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2023/V40/I6/841

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