|
|
|
| Effect of Ultrasound-Guided Sciatic Nerve Block Anesthesia on Lower Limb Blood Circulation in Patients Undergoing Foot Surgery |
| WANG Xinghua, YANG Caiping |
| Department of Anesthesiology, Yangling Demonstration Zone Hospital,Xianyang Shaanxi 712100 |
|
|
|
|
Abstract 【Objective】To investigate the impact of ultrasound-guided sciatic nerve block anesthesia on lower limb blood circulation in patients undergoing foot surgery.【Methods】A total of 78 patients undergoing foot surgery from our two hospitals were randomly divided into the observation group and the control group, with 39 patients in each group. The anesthetic effects and related indicators were compared between the two groups. Hemodynamic parameters such as heart rate (HR) and mean arterial pressure (MAP) were measured before anesthesia (T0), 30 minutes after anesthesia (T1), and at the end of the surgery (T2). Coagulation function indices, including thrombin time (TT), prothrombin time (PT), and activated partial thromboplastin time (APTT), were compared before and after surgery. The incidence of adverse reactions was also compared between the two groups.【Results】The duration of motor and sensory block in the observation group was significantly longer than that in the control group, while the time to urination and lower limb motor recovery of the observation group was shorter than of in the control group, with statistically significant differences (P<0.05). In the control group, HR and MAP at T1 and MAP at T2 were lower than those at T0 (P<0.05). HR and MAP at T1 and MAP at T2 in the observation group were higher than those in the control group at the same time points (P<0.05). Postoperative levels of TT, PT, and APTT were higher than preoperative levels in both groups (P<0.05), and postoperative TT, PT, and APTT levels in the observation group were significantly higher than those in the control group (P<0.05). The excellent rate of anesthesia in the observation group (97.44%) was significantly higher than in the control group (79.49%) (P<0.05). The total incidence of adverse reactions in the observation group was 7.69%, which was significantly lower than that in the control group (25.64%) (P<0.05).【Conclusion】Ultrasound-guided sciatic nerve block anesthesia for foot surgery has excellent anesthetic effects and safe clinical application, which effectively improves coagulation function and has fewer adverse reactions.
|
|
Received: 28 October 2023
|
|
|
|
|
|
[1] ARTS S, KERSELAERS L, NEVE J D, et al. Foot surgery without anesthesia in diabetic patients with sensory neuropathy: a short series-science direct[J].Foot Ankle Surg,2022,2(1):53-60.
[2] LI S . Effect of continuous sciatic nerve block under ultrasound guidance on vas score and morphine dosage in foot surgery[J].J Mathematical Med,2019,32(4):523-524.
[3] HUANG Z, WANG Z S, HOU J P, et al. Effect of ultrasound-guided continuous fascia iliac compartment block combined with single sciatic nerve block for analgesia after total knee arthroplasty in elderly patients[J].Laborat Med Clin,2019,16(18):2644-2647.
[4] 杨光,向芮,王文璨,等. 超声联合神经刺激仪引导改良侧入路坐骨神经阻滞术用于足部手术的临床评价[J].中华麻醉学杂志,2014,34(7):836-838.
[5] 胡群,陈世彪,李建华,等. 坐骨神经阻滞和股神经阻滞联合纳布啡在老年患者下肢骨折手术中的临床观察[J].临床医药实践,2018,27(4):277-279.
[6] 李昌达. 不同麻醉方式对老年下肢骨折患者麻醉效果术后并发症以及术后认知功能的影响[J].中国药物与临床,2020,20(17):2939-2941.
[7] 邱雯,余斌.足踝术后连续腘窝坐骨神经阻滞镇痛与静脉镇痛的随机对照研究[J].同济大学学报(医学版), 2018,39(2):99-102.
[8] 张秀平.跟骨骨折术后镇痛中超声引导下连续坐骨神经阻滞的应用及对患者术后并发症发生的影响[J].重庆医学,2021,50(2):60-63.
[9] 张娜,蔡光玉,罗俊杰,等.足踝手术中超声引导腘窝坐骨神经阻滞最佳给药部位的临床研究[J].同济大学学报(医学版),2018,39(4):72-77.
[10] 樊林滨,杨荣国. 超声引导下腘窝上坐骨神经阻滞在足部手术患者中的应用[J].海南医学,2021,32(5):624-627.
[11] 赵晶晶,方真华,黄若昆,等.踝或中后足部择期手术术后下肢深静脉血栓形成的发病情况研究[J].中华创伤骨科杂志,2021,23(7):597-601.
[12] 陈容,杨烨.超声引导下腰丛联合坐骨神经阻滞麻醉在老年患者下肢骨科手术中的应用价值评价[J].中国急救医学,2018,38(1):121.
[13] 蔡文博,郝建红,张洁,等. 超声引导下坐骨神经不同阻滞部位对足部手术患者麻醉效果的影响[J].海南医学,2020,31(24):3198-3201.
[14] 甘宁,李静,范坤,等.超声引导下股神经及坐骨神经阻滞用于老年下肢骨折患者的麻醉效果及对血凝状态的影响[J].重庆医学,2022,51(12):2055-2058. |
|
|
|
2024, Vol. 41 
