超声引导前锯肌平面阻滞对乳腺癌根治术患者术后镇痛效果的影响  

Effect of Ultrasound-guided Anterior Sawsaw Muscle Plane Block on Postoperative Analgesia in Patients with Radical Breast Cancer

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 of the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 467000,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8期69-70,共2页Journal of Rare and Uncommon Diseases

基　　金：河南省科技攻关计划:102102310320。

摘　　要：目的探讨超声引导前锯肌平面阻滞(SAPB)在乳腺癌根治术患者术后镇痛中的效果。方法选取2019年9月至2020年9月本院行乳腺癌根治术患者78例,依照随机数字表法分成两组,每组各39例。两组均常规麻醉,观察组于麻醉前行SAPB,术后均予以经静脉自控镇痛(PCIA),持续观察至术后48h。比较两组围术期相关指标、术后各时间点静息时疼痛状况、不良反应。结果观察组术后2、4、8、12、24、48h的视觉模拟疼痛量表(VAS)评分低于对照组,有统计学意义(P<0.05);观察组术中瑞芬太尼、丙泊酚用量、术后舒芬太尼用量和48h镇痛泵有效按压次数少于对照组,术后首次按压时间晚于对照组,有统计学意义(P<0.05);观察组不良反应发生率为5.13%,低于对照组的23.08%,有统计学意义(P<0.05)。结论SAPB可有效缓解乳腺癌根治术患者术后疼痛,减少药物使用剂量,且不良反应少,安全可行。Objective To investigate the effect of ultrasound-guided anterior saw muscle plane block(Serratus Anterior Plane Block,SAPB)in postoperative analgesia in patients with radical breast cancer.Methods 78 patients with radical breast cancer from September 2019 to September 2020 were divided into two groups,39 patients each according to randomized digital table.Both groups underwent routine anesthesia and underwent intravenous analgesia(PCIA)after anesthesia SAPB,lasting up to 48h.Comparing two groups of perioperative related indicators,postoperative resting and pain conditions and adverse reactions.Results The visual simulated pain scale(VAS)of 2,4,8,12,24,48h was lower than the control group(P<0.05),refentone,propofol,and 48h analgesia pumps were less than the controls,the difference was significant(P<0.05)and 5.13%below 23.08%(P<0.05).Conclusion SAPB can effectively relieve postoperative pain in radical breast cancer,and be safe and feasible.

关 键 词：乳腺癌根治术 超声引导前锯肌平面阻滞 视觉模拟疼痛量表 

分 类 号：R737.9[医药卫生—肿瘤]