神经阻塞延长神经功能的恢复在糖尿病足部的患者
Qiufeng Wei1, Heng Rong1, Guangying Zhang1
1Department of Anesthesiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Province, 530021, People's Republic of China.
Journal of pain research
|November 27, 2024
概括
糖尿病足患者对于股骨和坐骨神经阻断的神经刺激值较高. 这导致神经阻塞的持续时间更长,恢复延迟,观察到一些神经损伤的情况.
科学领域:
- 麻醉学 麻醉学
- 糖尿病学 糖尿病学
- 神经学 神经学
背景情况:
- 糖尿病中周围神经病变与神经刺激值升高有关.
- 糖尿病足患者的特定神经刺激值和阻断恢复还没有得到很好的定义.
研究的目的:
- 确定糖尿病足患者的股骨和坐骨神经的最低刺激值.
- 在这个人群中评估神经阻塞和神经功能恢复的持续时间.
主要方法:
- 对83名糖尿病足患者和48名接受远端下肢手术的对照组 (50-80岁) 进行前性研究.
- 使用ropivacaine进行了超声导向的股骨和骨 sciatic神经阻塞.
- 测量了股骨和坐骨神经中运动反应的最小电流.
主要成果:
- 糖尿病足患者的股骨和坐骨神经刺激值显著更高 (P < 0.01).
- 对于糖尿病足患者来说,股骨和坐骨 sciatic 感觉和运动阻塞的持续时间要长得多 (P < 0.01).
- 神经损伤发生在4.8%的糖尿病足患者中.
结论:
- 糖尿病足患者需要更高的刺激来引起神经反应.
- 罗皮瓦卡因的神经阻塞在糖尿病足患者中表现出延长的持续时间和延迟的恢复.
- 在糖尿病足患者中,神经损伤的发生率较高.
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