超声引导竖脊肌平面阻滞联合全麻在腹腔镜全子宫切除术中的应用  

Application of Ultrasound-guided Vertical Spinal Muscle Plane Block Combined with General Anesthesia in Laparoscopic Total Hysterectomy

作　　者：姜素莉 扶超 赵云[1] 李阿丽 方洁[1] JIANG Su-li;FU Chao;ZHAO Yun;LI A-li;FANG Jie(Department of Anesthesiology,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,Henan Province,China)

机构地区：[1]河南中医药大学第一附属医院麻醉科,河南郑州450000

出　　处：《罕少疾病杂志》2022年第7期77-78,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨在腹腔镜全子宫切除术(LTH)中应用超声引导竖脊肌平面阻滞(ESPB)联合全麻的效果。方法选择2019年6月至2020年12月于我院择期行LTH的64例患者,采用随机数字表法分为两组,每组各32例。观察组实施超声引导ESPB阻滞联合全麻,对照组未行ESPB阻滞。对比两组麻醉药物用量、苏醒时间、镇痛效果及不良反应。结果观察组苏醒时间短于对照组,瑞芬太尼、舒芬太尼、顺阿曲库铵、丙泊酚用量低于对照组,术后2、6、12、24、48h视觉模拟评分(VAS)均低于对照组,恶心、呕吐发生率低于对照组,差异有统计学意义(P<0.05)。结论在LTH中应用超声引导ESPB阻滞联合全麻,在减少麻醉药物用量时可达到良好的镇痛效果,缩短苏醒时间,且安全性高。Objective To investigate the effect of ultrasound-guided vertical spinal muscle plane block(ESPB)combined with general anesthesia in laparoscopic total hysterectomy(LTH).Methods 64 patients selected to LTH in our hospital from June 2019 to December 2,2020,were divided into two groups,32 patients each.The observation group performed ultrasound-guided ESPB block combined with general anesthesia,and no ESPB block occurred in the control group.Comparing the dosage of narcotic drugs,awakening time,analgesic effects and adverse reactions of the two groups.Results The awakening time in the observation group was shorter than the control group,Rufentanyl,cadacurium,Shufentanyl,propofol than the control group,2h,6h,12h,24h,48h visual simulation score(VAS)and the control group,nausea and vomiting(P<0.05).Conclusion LTH with ultrasound-guided ESPB block and general anesthesia can achieve good analgesic effect,and shorten the recovery time and have high safety when reducing the dosage of narcotic drugs.

关 键 词：腹腔镜全子宫切除术 全身麻醉 竖脊肌阻滞 苏醒时间 镇痛效果 不良反应 

分 类 号：R713.42[医药卫生—妇产科学]