McGlone R, Sadhra K, Hamer D W, Pritty P E
Accident and Emergency Department, Derbyshire Royal Infirmary, England.
Arch Emerg Med. 1987 Sep;4(3):163-8. doi: 10.1136/emj.4.3.163.
The aim of this study was to demonstrate that the under-used technique of femoral nerve block (F.N.B.) (Berry, 1977) has excellent analgesic action for femoral shaft fractures when performed by junior staff. It had no recorded side effects and was used in all age groups for fractures at all levels along the femoral shaft. Twenty-seven consecutive patients were studied as they presented in an accident room, all received a femoral nerve block (10 ml 1% Lignocaine with 1:200,000 adrenaline) from unsupervised junior accident and emergency staff instructed in the technique. Each case was subsequently followed up, and both the delay before the onset of analgesia and total duration of analgesia, together with its efficacy, were assessed. A further F.N.B. using a different agent (10 ml 0.5% bupivacaine) was performed and the same parameters were assessed. Both agents gave effective analgesia of varying duration at all levels of fracture site.
本研究的目的是证明，由初级医护人员实施的使用较少的股神经阻滞技术（F.N.B.）（Berry，1977年）对股骨干骨折具有出色的镇痛作用。该技术无不良记录，可用于各个年龄组的股骨干不同部位骨折。连续27例患者在急诊室就诊时接受了研究，所有患者均由未受监督但接受过该技术培训的初级急诊医护人员实施股神经阻滞（10毫升含1:200,000肾上腺素的1%利多卡因）。随后对每个病例进行随访，评估镇痛起效前的延迟时间、镇痛总时长及其效果。使用不同药物（10毫升0.5%布比卡因）再次进行股神经阻滞，并评估相同参数。两种药物在骨折部位的所有水平均产生了不同时长的有效镇痛效果。
