超声引导下隐神经阻滞在大隐静脉高位结扎剥脱术中的应用研究

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Abstract Objective To explore the application effect of ultrasound-guided saphenous nerve block in high ligation and stripping of great saphenous vein.Methods From March 2019 to May 2020,a total of 60 patients with high ligation and stripping of great saphenous vein in Pingxiang People′s Hospital were selected and divided into two groups by the random number table method,30 cases in each group.The control group received laryngeal mask anesthesia,and the observation group received ultrasound-guided saphenous nerve block.The pain visual analogue scale (VAS) score at each time point after operation and adverse reactions were compared.Results The VAS score of the observation group was (1.98±0.37) points at the 1 h after operation,and at the 48 h after operation it was (3.43±0.35) points,and the VAS score at 1 h and 48 h after operation in the control group were (1.96±0.38) points and (3.59±0.41) points respectively,there was no significant difference between the two groups(P＞0.05);the VAS scores of the observation group at 4,8,24 h after operation were (2.28±0.63) points,(2.51±0.60) points and (2.77±0.59) points,respectively,they were lower than those in the control group which were (2.89±0.49) points,(3.03±0.45) points and (3.64±0.52) points,the differences were statistically significant (P＜0.05); the total incidence of adverse reactions of the observation group was 6.67%,it was lower than that in the control group which was 26.67%,the difference was statistically significant(P＜0.05).Conclusion Ultrasound-guided saphenous nerve block in the application of high ligation and stripping of great saphenous vein has exact effect,remarkable blocking effect,can effectively relieve postoperative pain,with few adverse reactions and high safety.

Key words： High ligation and stripping of great saphenous vein Ultrasound guidance Saphenous nerve block Pain score Adverse reactions

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	ZHANG Wen-ting
	LI Xiao-yong

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ZHANG Wen-ting,LI Xiao-yong. Application study of ultrasound-guided saphenous nerve block in high ligation and stripping of great saphenous vein[J]. 中国当代医药, 2020, 27(31): 157-159.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I31/157

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