超声引导竖脊肌平面阻滞与全麻在脊柱手术中的可行性  

Feasibility of ultrasound-guided plane block and general anesthesia of vertical spinal muscle in spinal surgery

作　　者：冯文荃 徐晓栋 王立飞 Feng Wenquan;Xu Xiaodong;Wang Lifei(The Third People's Hospital of Hefei)

机构地区：[1]安徽医科大学第三临床学院,合肥市第三人民医院

出　　处：《现代科学仪器》2023年第2期76-79,104,共5页Modern Scientific Instruments

基　　金：合肥市卫生健康委应用医学研究重点项目课题编号:Hwk2020zd0013。

摘　　要：目的:探究超声引导下竖脊肌平面阻滞(ESPB)联合全麻对脊柱手术患者的可行性。方法:选取2019年1月~2021年9月本院收治的150例脊柱手术患者,随机分成观察组(n=77)、对照组(n=73),比较两组相关参数。结果:观察组首次排气时间/首次下床活动时间/总住院时间及苏醒时间均短于对照组,恶心呕吐、嗜睡发生率均低于对照组,维持剂量泵注半小时(T2)、术毕(T3)心率(HR)、收缩压(SBP)均高于对照组,术后2、12、24hVAS得分低于对照组(P<0.05)。结论:超声引导下ESPB联合全麻阻滞可用于脊柱手术。Objective:To investigate the feasibility of ultrasound-guided erector spinae plane block(ESPB)combined with general anesthesia in patients undergoing spinal surgery.Methods:150 patients undergoing spinal surgery in the hospital between January 2019 and September 2021 were randomly divided into observation group(n=77)and control group(n=73).Relevant parameters were compared between the groups.Results:The first exhaust time,first ambulation time,total length of hospital stay and wake-up time of the observation group were shorter than those of the control group.The incidence rates of nausea and vomiting and sleepiness were lower than those in the control group.Heart rate(HR)and systolic pressure(SBP)after half an hour of infusion with maintenance dose(T2)and at the end of operation(T3)were higher than those in the control group.The VAS scores at 2h,12h and 24h after operation were lower than those of the control group(P<0.05).Conclusion:Ultrasound-guided ESPB combined with general anesthesia can be applied in spinal surgery.

关 键 词：脊柱手术 超声引导下竖脊肌平面阻滞 血流动力学 苏醒时间 疼痛程度 

分 类 号：R614[医药卫生—麻醉学]