骶旁与坐骨神经后支阻滞联合腰丛阻滞的比较
Comparison of Parasacral and Posterior Sciatic Nerve Blocks Combined with Lumbar Plexus Block.
作者信息
Öztürk Ertan, Gökyar İsmail, Günaydın Berrin, Çelebi Hülya, Babacan Avni, Kaya Kadir
机构信息
Department of Anaesthesiology, American Hospital, İstanbul, Turkey.
Department of Anaesthesiology, Private Bayindir Hospital, Ankara, Turkey.
出版信息
Turk J Anaesthesiol Reanim. 2013 Oct;41(5):171-4. doi: 10.5152/TJAR.2013.47. Epub 2013 Jun 14.
OBJECTIVE
The aim of this study is to compare the effects of parasacral and posterior Winnie approaches when combined with the inguinal paravascular approach for lumbar plexus block.
METHODS
After the approval of the Ethics Committee, 40 patients scheduled to undergo arthroscopic knee surgery were enrolled. The patients were randomly assigned into two groups in a double-blind manner to perform sciatic nerve block either by the parasacral technique (Group I) or by the posterior approach (Group II).
RESULTS
The obturator nerve motor block success rate was found to be 80% (16/20) in Group I, whereas it was 10% (2/20) in Group II (p<0.05).
CONCLUSION
Inguinal paravascular block with parasacral sciatic nerve block led to a much higher incidence of obturator nerve motor block when compared to the inguinal paravascular block with posterior sciatic nerve block during knee arthroscopies.
目的
本研究旨在比较骶旁入路和温妮后入路与腹股沟血管旁入路联合用于腰丛阻滞的效果。
方法
经伦理委员会批准，纳入40例计划行膝关节镜手术的患者。患者以双盲方式随机分为两组，分别采用骶旁技术（I组）或后入路（II组）进行坐骨神经阻滞。
结果
I组闭孔神经运动阻滞成功率为80%（16/20），而II组为10%（2/20）（p<0.05）。
结论
在膝关节镜检查期间，与腹股沟血管旁阻滞联合坐骨神经后入路阻滞相比，腹股沟血管旁阻滞联合骶旁坐骨神经阻滞导致闭孔神经运动阻滞的发生率更高。
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