超声引导腰方肌阻滞技术在腹腔镜全子宫切除术中的应用  

Application of ultrasound-guided quadratus lumborum block technique in laparoscopic total hysterectomy

作　　者：张振红[1] 任娟[1] ZHANG Zhenhong;REN Juan(Department of Anesthesiology,Shouguang People’s Hospital,Shandong Province,Shouguang 262700,China)

机构地区：[1]山东省寿光市人民医院麻醉科,山东寿光262700

出　　处：《妇儿健康导刊》2024年第7期25-28,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

基　　金：山东省潍坊市卫健委科研项目计划(WFW SJK-2023-134)。

摘　　要：目的 探讨超声引导腰方肌阻滞技术在腹腔镜全子宫切除术中的应用效果。方法 选择2022年1月至2023年6月在寿光市人民医院实施全身麻醉气管插管下腹腔镜全子宫切除术的80例患者,按照随机数字表法分为两组,各40例。对照组采取气管插管全身麻醉,观察组在对照组基础上于全身麻醉诱导前实施超声引导腰方肌阻滞术。比较两组术后12h疼痛评分及血清P物质水平、并发症发生情况、镇痛泵按压次数、单次追加镇痛药物次数。结果 观察组术后12h疼痛评分、血清P物质水平低于对照组(P<0.05);观察组麻醉复苏阶段并发症总发生率低于对照组(P<0.05);观察组镇痛泵按压次数及单次追加镇痛药物次数少于对照组(P <0.05)。结论 超声引导腰方肌阻滞技术在腹腔镜全子宫切除术中的应用效果较好,能够减轻术后疼痛,降低并发症发生率,减少镇痛泵按压次数及单次追加镇痛药物次数。Objective To investigate the application effect of ultrasound-guided quadratus lumborum block technique in laparoscopic total hysterectomy.Methods From January 2022 to June 2023,80 patients who underwent laparoscopic total hysterectomy under general anesthesia and tracheal intubation in Shouguang People's Hospital were selected and divided into two groups according to the random number table method,with 40 cases in each group.The control group was given tracheal intubation general anesthesia,and the observation group was given ultrasound-guided quadratus lumborum block before general anesthesia induction.The pain score at 12 hours after surgery and serum substance P level,and the incidence of complications,the pressing times of analgesic pump and the times of single additional analgesic drugs were compared between the two groups.Results The pain score at 12 hours after surgery and serum substance P level of the observation group were lower than those of the control group(P < 0.05).The total incidence of complications during anesthesia recovery in the observation group was lower than that in the control group(P < 0.05).The pressing times of analgesic pump and the times of single additional analgesic drugs in the observation group were fewer than those in the control group(P < 0.05).Conclusion The application of ultrasound-guided quadratus lumborum block technique in laparoscopic total hysterectomy is effective,which can reduce postoperative pain,decrease the incidence of complications,reduce the pressing times of analgesic pump and the times of additional analgesic drugs.

关 键 词：超声引导腰方肌阻滞 腹腔镜全子宫切除术 疼痛评分 

分 类 号：R614[医药卫生—麻醉学]