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[1]孟岩,李永华,缪雪蓉,等.超声引导下神经阻滞技术在“和谐使命-2018”海外医疗服务任务中的应用[J].医学研究与战创伤救治(原医学研究生学报),2020,22(01):6-8.[doi:10.3969/j.issn.1672-271X.2020.01.002]
　MENGYan,LIYong-hua,MIAOXue-rong,et al.The application of ultrasound-guided nerve block in “Mission Harmony-2018” oversea medical service[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2020,22(01):6-8.[doi:10.3969/j.issn.1672-271X.2020.01.002]
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超声引导下神经阻滞技术在“和谐使命-2018”海外医疗服务任务中的应用()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第22卷
期数:
2020年01期
页码:
6-8
栏目:
出版日期:
2020-01-06

文章信息/Info

Title:
The application of ultrasound-guided nerve block in “Mission Harmony-2018” oversea medical service
作者:
孟岩; 李永华; 缪雪蓉; 王嘉锋
作者单位：200433 上海，海军军医大学第一附属医院麻醉学部（孟岩、王嘉锋）；200433 上海，海军军医大学第二附属医院麻醉科（李永华）；200433 上海，海军军医大学第三附属医院麻醉科（缪雪蓉）
Author(s):
MENG　Yan1;  LI　Yong-hua2;  MIAO　Xue-rong3;  WANG　Jia-feng1
（1.Faculty of Anesthesiology, the First Affiliated Hospital of the Naval Medical University, Shanghai 200433, China；2.Department of Anesthesiology, the Second Affiliated Hospital of the Naval Medical University, Shanghai 200433, China； 3.Department of Anesthesiology, the Third Affiliated Hospital of the Naval Medical University, Shanghai 200433, China）
关键词:
和谐使命; 海外医疗服务; 超声引导; 神经阻滞; 快速康复外科
Keywords:
mission harmony;  oversea medical service;  ultrasound guide;  nerve block;  enhanced recovery after surgery
分类号:
R614
DOI:
10.3969/j.issn.1672-271X.2020.01.002
文献标志码:
A
摘要:
目的　通过分析与总结“和谐使命-2018”任务中接受超声引导下神经阻滞麻醉与镇痛的病例，探索海外医疗服务中神经阻滞在快速康复外科中的价值。 方法　回顾性分析任务中在麻醉条件下接受四肢手术的患者临床资料，筛选患者并完善术前相关检查，在获得患者和家属充分的理解与同意基础上，利用0.375%罗哌卡因复合0.5%利多卡因实施超声引导下神经阻滞麻醉技术，术后观察患者进水时间、下床时间、住院时间，并评估患者疼痛评分、满意度评分。 结果　共实施各类超声引导下神经阻滞4例，分别为闭孔神经+股神经阻滞、臂丛神经阻滞、腓总神经阻滞和坐骨神经阻滞，所有病例均顺利接受麻醉与手术，无相关不良事件发生。术后平均进水时间为（2.9±1.2）h，下床时间为（3.8±1.3）h，平均住院时间（2.5±1.0）d。术后24 h患者疼痛评分平均为（2.8±1.0）分，满意度高达（96.3±4.8）%。 结论　在“和谐使命-2018”海外医疗服务任务中实施超声引导下神经阻滞技术，麻醉与镇痛效果好，术后康复速度快，患者满意度高，值得今后的任务借鉴。
Abstract:
Objective　To investigate the role of nerve block in the enhanced recovery after surgery during the oversea medical service by analysis and conclude the patients undergoing ultrasound-guided nerve block anesthesia and analgesia during the “Mission Harmony-2018”.　Methods　Patients undergoing limb surgeries with anesthesia were recruited. Preoperative examinations were completed. The understanding and consent were obtained from the patients and their relatives. Nerve block was performed with 0.375% ropivacaine and 0.5 lidocaine. The time of drinking water, standing up and hospitalization was recorded. The pain score and satisfactory score were further assessed.　Results　A total of 4 cases of nerve block was performed, including the block of the obturator nerve and the femoral nerve, brachial plexus block, common peroneal nerve block and sciatic nerve block. All cases of anesthesia and surgery were expected to be completed successfully without any adverse event. The average time of drinking water was (2.9±1.2)h and the time of standing up was (3.8±1.3)h. The mean hospitalization duration was (2.5±1.0)days. Pain score at 24 h after surgery was 2.8±1.0 and the satisfactory score was (96.3±4.8)%.　Conclusion　Ultrasound-guided nerve block during the “Mission Harmony-2018” oversea medical service provides satisfactory anesthesia and analgesia, with rapid recovery and high satisfaction, which can be widely applied in the similar missions afterwards.

参考文献/References:

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更新日期/Last Update: 2020-01-06