超声引导胸椎旁阻滞对乳腺炎换药的镇痛效果  

Effect of ultrasound⁃guided thoracic paravertebral block on pain⁃relieving during dressing change of masti⁃tis

作　　者：张广防[1] 戴双华[1] 郭玲崧 肖建斌[1] 蔡清香[3] ZHANG Guangfang;DAI Shuanghua;GUO Lingsong;XIAO Jianbin;CAI Qingxiang(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine(Guangdong Provincial Hospital of Chinese Medicine),Guang-zhou 510120,China;不详)

机构地区：[1]广州中医药大学第二附属医院(广东省中医院),广州510120 [2]广州中医药大学第二临床医学院,广州510405 [3]广州中医药大学第一附属医院,广州510405

出　　处：《实用医学杂志》2021年第9期1177-1181,共5页The Journal of Practical Medicine

摘　　要：目的探讨超声引导胸椎旁阻滞在乳腺炎换药镇痛中的应用。方法选取肉芽肿乳腺炎患者96例,分为超声引导胸椎旁阻滞组47例(T组)和局部麻醉组49例(L组),T组采用胸椎旁阻滞,L组行局部浸润麻醉,记录T组神经阻滞前、后生命体征,记录T组麻醉并发症数量,记录两组换药疼痛VSA评分、镇痛维持时间。结果 T组阻滞前与阻滞后对比生命体征差异无统计学意义。T组霍纳氏综合征23例,无严重并发症;两组患者换药疼痛VSA评分、镇痛维持时间差异有统计学意义。结论超声引导胸椎旁神经阻滞可安全有效用于乳腺炎换药镇痛,并发症少,提高治疗效果,加快患者康复。Objective To explore the effect of ultrasound⁃guided thoracic paravertebral nerve block on pain⁃relieving during dressing change of mastitis.Methods Ninety⁃six patients with granulomatous mastitis were selected and randomly divided into two groups:the control group(group L,n=49,receiving local anesthetic infiltration)and the experimental group(group T,n=47,receiving thoracic paravertebral block).Vital signs before and after the procedure were recorded.The number of anesthesia complications in group T was recorded.VSA score and regional block time in two groups were recorded.Results There was no significant difference in vital signs between before and after block in group T.There were 23 cases of Horner′s syndrome in group T without serious complications.There were significant differences in analgesia duration and VSA score between the two groups.Conclusion Ultrasound guided thoracic paravertebral nerve block was safe and effective for pain reliving during dressing change of mastitis and had fewer complications,which could improve the therapeutic effect and speed up the recovery.

关 键 词：超声引导 胸椎旁阻滞 镇痛 乳腺炎 换药 

分 类 号：R614.4[医药卫生—麻醉学]