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Analysis of the Clinical Application of Adductor Muscles Fan-shaped Block and Improved Obturator Nerve Block During Transurethral Resection of Bladder Tumor

Guo Liwei;Department of Anesthesiology, Hepu People's Hospital;  
Objective to compare the feasibility and effect of the operation of block nerve block and improved obturator nerve block in the adductor muscle of the thigh and prevent obturator nerve reflex.Method Sixty patients(ASA Ⅰ~Ⅱ) aged from 45 to 93 who underwent transurethral resection of bladder tumor(TURBT) were random Ly divided into two groups:fan block group(n=30) and modified group(n=30).The maximum visual analogue scale(VAS) was recorded during the puncture,and the success rate of puncture and obturator nerve block in the puncture was recorded.Result(T=14.954,P 0.01).The maximal VAS score of the puncture was significantly higher than that of the modified group(t=18.623,P 0.01).The success rate of obturator nerve block was(P 0.05).Conclusion The operation time of the thigh adductor muscle nerve block is shorter,the method is more simple,safe,comfortable and effective.
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