出 处:《中外医学研究》2022年第26期55-59,共5页CHINESE AND FOREIGN MEDICAL RESEARCH
摘 要:目的:分析竖脊肌平面阻滞(etretor spinace plane block,ESPB)对脊柱侧弯矫形术的影响。方法:选取2019年6月-2020年3月荆州市第二人民医院收治的127例脊柱侧弯矫形术患者作为研究对象。根据随机抽签将其分为观察组(63例)及对照组(64例)。观察组采取ESPB联合全身麻醉,对照组采取全身麻醉。比较两组时间指标、唤醒质量,麻醉前,麻醉后12、24、48 h VAS评分,术前(T_(0))、麻醉后3 min(T_(1))、唤醒前1 min(T_(2))、唤醒后3 min(T_(3))SpO_(2)、心率及MAP,术后6、12、24 h躁动率。结果:两组唤醒时间、言语应答时间、自主呼吸恢复时间比较差异均无统计学意义(P>0.05)。观察组唤醒质量Ⅰ级占比高于对照组,Ⅲ级占比低于对照组(P<0.05)。两组VAS评分的主体内效应、主体间效应比较差异均有统计学意义(P<0.05)。观察组麻醉后12、24、48 h的VAS评分均低于对照组(P<0.05)。两组SpO_(2)、MAP、心率主体内效应、主体间效应比较差异均有统计学意义(P<0.05)。观察组T_(1)、T_(2)、T_(3)SpO_(2)均高于对照组,MAP、心率均低于对照组(P<0.05)。广义估计方程分析:Wald X^(2)=8.011,P=0.005。观察组术后6、12、24 h的躁动率均低于对照组(P<0.05)。结论:采用ESPB,能显著提高脊柱侧弯矫形术中唤醒试验质量,取得显著效果,减轻疼痛,稳定血流动力学,减少术后躁动。Objective:To analyze the effect of erector spinae plane block(ESPB)on scoliosis correction operation.Method:A total of 127 patients with scoliosis correction operation admitted to Jingzhou Second People’s Hospital from June 2019 to March 2020 were selected as the study subjects.They were divided into observation group(63 cases)and control group(64 cases)according to random drawing.The observation group taken ESPB combined with general anesthesia,and the control group taken general anesthesia.The time indexes,wake-up quality,VAS score before anesthesia,12,24 and 48 hours after anesthesia,SpO_(2),heart rate and MAP before operation(T_(0)),3 min after anesthesia(T_(1)),1 min before awakening(T_(2)),3 min after awakening(T_(3)),and agitation rate at 6,12 and 24 hours after operation were compared between the two groups.Result:There were no significant differences in the wake-up time,speech response time and recovery time of spontaneous breathing between the two groups(P>0.05).The proportion of classⅠwake-up quality in the observation group was higher than that in the control group,and the proportion of classⅢwake-up quality was lower than that in the control group(P<0.05).There were statistically significant differences in the intra subject effect and inter subject effect of VAS scores between the two groups(P<0.05).VAS scores of the observation group at 12,24 and 48 hours after anesthesia were lower than those of the control group(P<0.05).There were statistically significant differences in intra subject effect and inter subject effect of SpO_(2),MAP,heart rate between the two groups(P<0.05).T_(1),T_(2),T_(3),the SpO_(2) in the observation group were higher than those in the control group,and MAP and heart rate were lower than those in the control group(P<0.05).The analysis of generalized estimation equation showed that Wald X^(2)=8.011,P=0.005.The agitation rate of the observation group at 6,12 and 24 hours after operation were lower than those of the control group(P<0.05).Conclusion: Using the ESPB can signif
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