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| The safety and feasibility of the application of nerve stimulator in lower limb surgery of children with sciatic nerve and femoral nerve block |
| JIANG Wei-qun TAO Xiao-san |
| Department of Anesthesiology,the Third Affiliated Hospital of Nanchang University in Jiangxi Province，Nanchang 330008,China
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Abstract ObjectiveTo analyze the safety and feasibility of the application of nerve stimulator in the lower limb operation of sciatic nerve and femoral nerve block in children.Methods82 cases of children with unilateral lower limb surgery in our hospital from October 2016 to February 2017 were randomly divided into experimental group and control group,each group of 41 cases.The traditional method of nerve block was used in the control group,and the nerve block was used in the experimental group,according to random number table.The two groups of children′s operation time, working time,complete occlusion time and success rate of nerve block were compared.ResultsThe operation time of the experimental group was （5.1±2.3)min,the time of was （12.4±3.2)min,less than those of the control group（8.8±2.5）min and（18.6±4.4）min,the differences were statistically significant（P＜0.05).The onset time of the experimental group was （4.6±1.4)min and the control group was （5.3±1.8)min,the difference was not statistically significant（P＞0.05).The success rate of nerve block in the experimental group was 97.56%,higher than 82.92%in the control group,the difference was statistically significant（P＜0.05).ConclusionThe nerve block effect of sciatic nerve stimulator in 82.92%pediatric lower extremity surgery+femoral nerve block is obviously better than the traditional methods,and can reduce the incidence of postoperative complications.
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| [1] |
郝树兰，宋志永.超声引导下小儿上肢手术神经阻滞及术后镇痛的临床观察[J].当代医学，2014，20（30）：26-27.
|
| [2] |
邓福谋，周志东，连芳，等.股神经-坐骨神经联合阻滞在高龄患者单下肢手术中的临床应用[J].实用临床医学，2012，13（1）：53-55.
|
| [3] |
李海峰，叶陈前.坐骨神经周围阻滞治疗小儿臀部肌内注射致坐骨神经损伤[J].吉林医学，2012，33（35）：7714-7715.
|
| [4] |
刘红，刘跃森.膝关节以下手术中应用神经刺激仪定位股神经加坐骨神经阻滞的临床效果观察[J].西部医学，2014，26（12）：1620-1622.
|
| [5] |
朱贵芹，朱霞，郑闽江，等.超声联合神经刺激仪定位腰丛-坐骨神经阻滞在危重患者下肢手术中的临床应用[J].临床麻醉学杂志，2013，29（11）：1091-1093.
|
| [6] |
许晓勤，徐旭东.超声定位于神经刺激仪定位行全膝关节置换术后镇痛效果的比较[J].临床麻醉学杂志，2014，30（7）：634-636.
|
| [7] |
罗鑫，文可武.基层医院神经刺激仪引导下坐骨+股神经阻滞在小儿下肢手术中的应用[J].医学理论与实践，2014，27（12）：1615-1616.
|
| [8] |
封华勋，黄增平，吴华，等.超声联合神经刺激仪引导坐骨神经及股神经阻滞在骨科手术中的应用[J].包头医学院学报，2017，33（1）：12-13,71.
|
| [9] |
王建国，高铁梅，徐更宇，等.股神经-坐骨神经联合阻滞用于单侧下肢手术的临床观察[J].临床麻醉学杂志，2013，29（4）：412-413.
|
| [10] |
黄连军，秦晓辉.超声引导神经刺激仪在臀下入路坐骨神经阻滞麻醉中的应用研究[J].海军医学杂志，2015，36（3）：238-242.
|
| [11] |
李文辉，阮凯坤，李坤.神经刺激仪在肌间沟臂丛神经阻滞中的应用[J].中国当代医药，2016，23（30）：109-111.
|
| [12] |
杨纲华，王立勋，卢增停，等.超声联合神经刺激仪引导肌间沟臂丛神经阻滞在肥胖患者中的临床观察[J].贵州医药，2016，40（11）：1171-1173.
|
| [13] |
田春梅，盖赵辉，佟香芝，等.神经刺激仪在老年患者手术中的应用[J].齐齐哈尔医学院学报，2013，34（18）：2695-2696.
|
| [14] |
檀彧庆，李元海，王胜斌.神经刺激仪在小儿上肢手术中的应用[J].安徽医科大学学报，2012，47（7）：881-883.
|
| [15] |
朱旭，顾正松，冯云天，等.神经刺激仪引导下连续外周神经阻滞用于下肢术后镇痛的效果[J].临床麻醉学杂志，2014，30（10）：1008-1011.
|
|
|
|
