超声引导下双侧竖脊肌平面阻滞用于后路腰椎融合术后镇痛的效果研究  

Analgesic effects of ultrasound-guided bilateral erector spinae plane block after posterior lumbar fusion

作　　者：王佳[1] 张晋峰[1] Wang Jia;Zhang Jinfeng(Department of Anesthesiology,Shanxi Provincial People’s Hospital,Taiyuan 030001,China)

机构地区：[1]山西省人民医院麻醉科,太原030001

出　　处：《中国实用医刊》2021年第3期28-30,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨超声引导下双侧竖脊肌平面阻滞(ESPB)用于后路腰椎融合术后镇痛的效果。方法抽取2019年8月至2020年6月在山西省人民医院行后路腰椎融合术治疗的患者80例,按照随机数字表法将其分为对照组和观察组,每组40例。对照组行全身麻醉,观察组在全身麻醉前应用超声引导下双侧ESPB。对比两组患者的视觉模拟评分法(VAS)评分、舒芬太尼累积用量、补救镇痛率及不良反应发生率。结果术后1、6、12、24 h,观察组VAS评分及舒芬太尼累积用量均少于对照组(P均<0.05);观察组补救镇痛率(12.5%,5/40)低于对照组(32.5%,13/40),P<0.05;两组患者呼吸抑制、恶心、呕吐发生率比较差异未见统计学意义(P>0.05)。结论对后路腰椎融合术患者应用超声引导下双侧ESPB可提高术后镇痛效果,减少舒芬太尼用量及补救镇痛,且安全性良好。Objective To investigate the analgesic effects of ultrasound-guided bilateral erector spinae plane block(ESPB)after posterior lumbar fusion.Methods Eighty patients underwent posterior lumbar fusion in Shanxi Provincial People’s Hospital from August 2019 to June 2020 were selected,and they were divided into control group and observation group by random number table method,with 40 cases in each group.Patients in the control group received general anesthesia only;and patients in the observation group received ultrasound-guided bilateral ESPB before general anesthesia.The visual analogue scale(VAS)score,cumulative dosage of sufentanil,rate of salvage analgesia,and incidence of adverse reactions of the two groups were compared.Results At 1,6,12,24 h after operation,the VAS score and the cumulative dosage of sufentanil of the observation group were lower than those of the control group(P<0.05).The salvage analgesia rate of the observation group(12.5%,5/40)was significantly lower than that of the control group(32.5%,13/40),P<0.05.There was no significant difference in the incidence of respiratory depression,nausea,or vomiting between the two groups(P>0.05).Conclusions The use of ultrasound-guided bilateral ESPB in patients with posterior lumbar fusion can improve postoperative analgesic effect,reduce the dosage of sufentanil and salvage analgesia,with good safety.

关 键 词：镇痛 后路腰椎融合术 竖脊肌平面阻滞 

分 类 号：R614[医药卫生—麻醉学]