超声引导下注射肿胀液在大隐静脉曲张微创治疗中的应用

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摘要目的探究超声引导下注射肿胀液在大隐静脉曲张微创治疗中的应用效果。方法选取2019年2月～2020年2月江西省赣州市南康区第一人民医院住院部收治的60例大隐静脉曲张患者作为研究对象，采用蓝红双色进行1～30 数列分布随机抽签，红色设为实验组，蓝色设为传统组，每组各30例。两组患者均行大隐静脉激光闭合术治疗，实验组患者予以超声引导下注射肿胀液，传统组患者予以常规腰麻。比较两组患者的麻醉阻滞情况、不同时间心率、平均动脉压及疼痛情况。结果实验组患者的阻滞起始时间短于传统组，阻滞感觉评分及阻滞成功率高于传统组，差异有统计学意义（P＜0.05）。麻醉前两组患者的心率及平均动脉压比较，差异无统计学意义（P＞0.05）。实验组患者手术开始即刻、手术30 min 及手术结束即刻的心率及平均动脉压均低于传统组，差异有统计学意义（P＜0.05）。清醒即刻，两组患者的视觉模拟量表（VAS）评分比较，差异无统计学意义（P＞0.05）。术后1、3 d，两组患者的VAS评分低于清醒即刻，差异有统计学意义（P＜0.05）；术后1、3 d，实验组患者的VAS评分低于传统组，差异有统计学意义（P＜0.05）。结论于大隐静脉曲张微创治疗中辅以超声引导下注射肿胀液，对麻醉阻滞、手术开展及术后转归均有显著增益效果。

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	严杰
	仲春燕
	邱俊毅

关键词 ：大隐静脉曲张, 超声引导, 肿胀液, 微创治疗

Abstract：Objective To explore the application effect of ultrasound-guided injection of tumescent fluid in the minimally invasive treatment of varicosis of great saphenous vein.Methods A total of 60 patients with varicosis of great saphenous vein who admitted to the inpatient department of the First People′s Hospital of Nankang District in Ganzhou City from February 2019 to February 2020 were selected as the research objects by blue and red colors for number 1-30 in randomly drawing lots.Patients in the blue were classified into the traditional group,and patients in the red were classified into the experimental group,with 30 cases in each group.Patients of both groups were treated by laser closure of the saphenous vein.The traditional group received conventional spinal anesthesia,while the experimental group received ultrasound-guided injection of tumescent fluid.The anesthesia block,heart rate (HR),mean arterial pressure (MAP) at different time and pain were compared between the two groups.Results The initial time of block in the experimental group was shorter than that in the traditional group,the block sensory score and block success rate in the experimental group were higher than those in the traditional group,and the differences were statistically significant(P＜0.05).There were no statistically significant differences in HR and MAP before anesthesia between the two groups(P＞0.05).The HR and MAP in the experimental group were lower than those in the traditional group at the beginning of the operation,30 minutes at the operation,and immediately after the end of the operation,and the differences were statistically significant (P＜0.05).There were no statistically significant difference in the visual analogue scale(VAS) scores of the two groups immediately after waking up (P＞0.05).The VAS scores of the two groups at the 1st and 3rd days after surgery were lower than those immediately after waking up,and the differences were statistically significant (P＜0.05).The VAS scores in the experimental group at the 1st and 3rd days after surgery were lower than those of the traditional group,and the differences were statistically significant (P＜0.05).Conclusion In the minimally invasive treatment of great saphenous varicose veins,ultrasound-guided injection of tumescent fluid has a significant gain in anesthesia block,operation development and postoperative outcome.

Key words： Varicose of great saphenous vein Ultrasound guidance Tumescent fluid Minimally invasive treatment

基金资助:江西省赣州市指导性科技计划项目（GZ2019ZSF 341）

引用本文:

严杰；仲春燕；邱俊毅. 超声引导下注射肿胀液在大隐静脉曲张微创治疗中的应用[J]. 中国当代医药, 2020, 27(35): 108-111.
YAN Jie； ZHONG Chun-yan； QIU Jun-yi. Application of ultrasound-guided injection of tumescent fluid in minimally invasive treatment of varicosis of great saphenous vein. 中国当代医药, 2020, 27(35): 108-111.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2020/V27/I35/108

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