前庭大腺切除术中会阴区超声引导选择性神经阻滞的应用效果

Abstract
Figure/Table
References (18)
Related Citation (15)

Download: PDF (0 KB) HTML (38 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To observe the effect of selective nerve block guided by ultrasound in perineum during vestibular glandular resection.Methods A total of 84 patients with vestibular great gland cyst admitted to the Department of Obstetrics and Gynecology of Changsha Central Hospital from March 2019 to March 2021 were selected as the research subjects,and they were divided into observation group(42 cases)and control group(42 cases)by random number table method.The observation group received perineal ultrasound-guided selective nerve block,and the control group received spinal anesthesia.Hemodynamic indexes,perioperative visual analog scale(VAS)score,total incidence of postoperative complications and postoperative recovery time were compared between the two groups before and after anesthesia.Results Before anesthesia,there were no significant differences in systolic blood pressure,diastolic blood pressure,heart rate and VAS score between two groups(P>0.05).30 min after anesthesia,systolic blood pressure,diastolic blood pressure and heart rate of patients in both groups were lower than before anesthesia,the differences were statistically significant(P<0.05).60 min after anesthesia,systolic blood pressure,diastolic blood pressure and heart rate in two groups were higher than those before and 30 min after anesthesia,the differences were statistically significant(P<0.05).The systolic blood pressure,diastolic blood pressure and heart rate of the observation group were lower than those of the control group 30 and 60 min after anesthesia,the differences were statistically significant(P<0.05).At 12 h after anesthesia,VAS scores in both groups were lower than those before anesthesia,the differences were statistically significant(P<0.05).24 h after anesthesia,VAS scores of the two groups were higher than those before and 12 h after anesthesia,the differences were statistically significant(P<0.05).The VAS score of the observation group at 12 and 24 h after anesthesia was lower than that of the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 16.67%,lower than 45.2% in the control group,and the difference was statistically significant(P<0.05).The postoperative recovery time of observation group was shorter than that of control group,and the difference was statistically significant(P<0.05).Conclusion Patients with perineal ultrasound-guided selective nerve block during vestibular gland resection have relatively stable hemodynamics,accurate effect and better analgesic effect.Meanwhile,it can reduce surgical complications and shorten postoperative recovery time,which is conducive to the recovery of patients,and is worthy of widespread clinical application.

Key words： Vestibular gland resection Ultrasound Selective nerve block Intraspinal anesthesia

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CHEN Juan
	HUANG Yuan
	WU Qing
	XU Yu
	LIU Yong-xian

Cite this article:

CHEN Juan,HUANG Yuan,WU Qing, et al. Effect of ultrasound-guided selective nerve block in perineal area during resection of vestibular glandular resection[J]. 中国当代医药, 2021, 28(27): 80-83.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I27/80

[1]	陈敏，平永美，蓝丽霞.超声引导会阴区选择性神经阻滞在前庭大腺切除术患者中的实施意义及对并发症的影响[J].中国基层医药，2021，28（3）：380-384.
[2]	叶华，胡樱.中药汤剂联合熏洗法治疗前庭大腺囊肿验案举隅[J].亚太传统医药，2019，15（12）：118-119.
[5]	张杨，黄西，涂发平.阴部神经阻滞临床应用研究进展[J].黑龙江科学，2021，12（8）：51-52，55.
[6]	曾黎贞，刘利平.阴部神经阻滞麻醉下会阴缝合的效果分析[J].医学理论与实践，2020，33（6）：955-957.
[7]	周迎，胡铭仪，肖静，等.前庭大腺切除术会阴区超声引导选择性神经阻滞与蛛网膜下隙麻醉的对照研究[J].医学综述，2020，26（11）：2240-2245.
[3]	Omole F，Simmons BJ，Hacker Y.Management of Bartholin′s duct cyst and gland abscess[J].Am fam physician，2003，68（1）：135-140.
[4]	Cardaillac C，Dochez V，Gueudry P，et al.Surgical management of Bartholin cysts and abscesses in French university hospitals[J].J Gynecol Obstet Hum Reprod，2019，48（8）：632-635.
[8]	Miller MD.Measurement of subjective phenomena in primary care research：the Visual Analogue Scale[J].Fam Pract Res J，1993，13（1）：15-24.
[9]	谢佩霞，吴虹，张泓洋，等.高频电波刀治疗前庭大腺囊（脓）肿的临床观察[J].临床合理用药杂志，2019，12（7）：
15	9-161.
[10]	Naraghi L ，Lin J，Odashima K，et al.Ultrasound-guided regional anesthesia simulation：use of meat glue in inexpensive and realistic nerve block models[J].BMC Med Educ，2019，19（1）：145.
[11]	刘涌.超声引导定位行臂丛神经阻滞麻醉与传统解剖定位行臂丛神经阻滞麻醉对上肢手术患者麻醉效果的比较研究[J].山西医药杂志，2017，46（6）：694-696.
[12]	宁新宇，王甜甜，杨树峰，等.全身麻醉与神经阻滞麻醉对膝关节置换患者术后医院感染的影响分析[J].中华医院感染学杂志，2017，27（2）：365-368.
[13]	高国林，谭刚.超声引导下外周神经阻滞麻醉应用进展[J].检验医学与临床，2020，17（8）：1138-1140，1147.
[14]	白涛，王炜.周围神经阻滞麻醉与全身麻醉对老年患者半髋关节置换手术结局的影响[J].临床骨科杂志，2017，20（1）：46-49.
[15]	周一鸣，惠康祥，曹文珺，等.超声引导下胸神经Ⅱ阻滞对乳腺癌根治术患者镇痛效果及并发症的影响[J].癌症进展，2020，18（21）：66-69.
[16]	苏文婷，蔡秀免，林群，等.超声引导下股-腘窝坐骨神经阻滞在老年高血压患者单侧大隐静脉曲张手术中对血压和心率的影响[J].中华高血压杂志，2020，28（3）：276-279.
[17]	张瑞权，粱超，陈祖涛.超声引导下腰丛坐骨神经阻滞用于下肢骨科手术中的麻醉效果探析[J].实用中西医结合临床，2021，21（1）：118-119，123.
[18]	强军涛，樊航行.超声引导下前列腺周围神经阻滞麻醉在前列腺穿刺活检中的应用[J].北京医学，2020，56（1）：73-74.