超声引导收肌管隐神经阻滞在日间手术大隐静脉激光闭合术中的应用

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Abstract Objective To investigate the effect of ultrasound-guided adductor tube saphenous nerve block in daytime surgery for laser closure of the great saphenous vein. Methods From January to May 2021, 134 patients with varicose veins of the lower extremities who underwent day surgery on the Second Affiliated Hospital of Shandong First Medical University with laser closure of the great saphenous vein were selected as the research objects. According to random number table method, they were divided into observation group and control group, 67 cases in each group. The two groups were blocked under ultrasound guidance. The control group received femoral nerve block, and the observation group received adductor tube saphenous nerve block. The patient was discharged from the hospital after observation.The hemodynamics, pain degree, muscle strength of the lower limbs, first getting out of bed after operation and hospitalization time were compared between the two groups. Results There were no significant differences in heart rate and mean arterial pressure between the two groups before surgery, at the beginning of surgery and 15 min after admission to ward (P>0.05). The visual analog scale (VAS) score of the observation group was lower than that of the control group during operation and 2, 4 and 8 h after operation, and the differences were statistically significant (P<0.05). The muscle strength score of lower limbs in the observation group was higher than that in the control group at 2, 4 and 8 h after wards transfer, and the difference was statistically significant (P<0.05). The first postoperative ambulation and hospitalization time in the observation group were shorter than those in the control group, and the differences were statistically significant (P<0.05). Conclusion Ultrasound-guided adductor tube saphenous nerve block has a definite effect in daytime laser closure of the great saphenous vein, which can ensure the patient′s hemodynamic stability, reduce pain, and have a slight impact on lower limb motor function. Patients can get out of bed earlier after surgery and speed up their recovery after surgery.

Key words： Varicose veins of the lower extremities Ultrasound-guided adductor tube saphenous nerve block;Day surgery Laser closure of the great saphenous vein;Hemodynamics

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[1]	苑超，高荣键，孙伟东，等.超声引导下腔内射频消融联合点式剥脱治疗下肢静脉曲张的临床效果观察[J].现代生物医学进展，2020，20（7）：1272-1276.
[2]	谢泽民，崔巍.EVLT 联合大隐静脉高位结扎术治疗下肢静脉曲张临床效果观察[J].河北医科大学学报，2019，40（8）：898-901.
[3]	宁鉴，黎建月.激光腔内闭合术在大隐静脉曲张治疗中的临床应用[J].中国药物与临床，2020，20（6）：961-962.
[4]	林爽，王宇令.激光腔内闭合术联合泡沫硬化剂注射术在大隐静脉曲张微创治疗中的应用[J].中国美容整形外科杂志，2018，29（11）：657-660.
[5]	王春光，张志强，李艳军，等.股三角与收肌管入路隐神经阻滞用于膝关节置换术病人术后镇痛效果的比较[J].中华麻醉学杂志，2019，39（8）：953-956.
[6]	张献锐.聚桂醇硬化剂辅助治疗下肢静脉曲张的疗效分析[J].中国医药科学，2020，10（3）：275-277.
[7]	骆艳丽，吴文源，李春波，等.医学结局研究用疼痛量表在腰痛患者中的信效度初步研究[J].中国心理卫生杂志，2006，20（11）：713-715.
[8]	徐明月，曾晶，王春喜，等.1470 nm 激光治疗高龄下肢静脉曲张的临床观察[J].中国激光医学杂志，2019，28（4）：187-191.
[9]	骆广义，胡知齐，胡金龙.改良大隐静脉剥脱术与静脉腔内激光术治疗轻中度下肢静脉曲张的效果比较[J].安徽医学，2020，41（3）：301-304.
[10]	高胜国，梁勇，周瑞，等.改良激光静脉腔内闭合术治疗大隐静脉曲张257 例疗效分析[J].安徽医药，2019，23（12）：2476-2479.
[11]	邱昌城，李丽，李兆然，等.改良激光凝闭术治疗大隐静脉曲张的疗效[J].中国现代普通外科进展，2019，22（9）：747-748，752.
[12]	牛鹿原，张欢，罗小云，等.射频闭合术治疗下肢静脉曲张长期效果分析[J].中华外科杂志，2021，59（5）：366-369.
[13]	李亮，唐晓勇，刘强光，等.超声引导下局部浸润麻醉在静脉腔内射频闭合术治疗大隐静脉曲张中的临床应用[J].中国普外基础与临床杂志，2020，27（4）：423-428.
[14]	李振兴，吴秀玲.股神经联合坐骨神经阻滞麻醉在大隐静脉曲张剥脱术中的应用[J].上海医学，2019，42（5）：269-272.
[15]	孙风展，黄辉，马晓军，等.股神经阻滞在膝关节手术后镇痛中的应用进展[J].疑难病杂志，2020，19（12）：1284-1287.
[16]	唐帅，申新华，黄伟，等.隐神经穿出收肌管定位在超声引导下收肌管阻滞中的应用[J].临床麻醉学杂志，2018，34（2）：114-117.
[17]	李敏，陈鹭，吴黄辉，等.收肌管联合IPACK 阻滞用于全膝关节置换术后多模式镇痛的效果[J].中华麻醉学杂志，2019，39（5）：574-577.
[18]	张文婷，李小勇.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[J].中国当代医药，2020，27（31）157-159.