不同局麻药用于超声引导下行双侧腰方肌阻滞的效果  

The Effect of Different Local Anesthetics on Bilateral Lumbar Muscle Block Under Ultrasound Guidance

作　　者：贾庆山[1] JIA Qingshan(Shouguang People's Hospital Shandong.Shouguang 262700,China)

机构地区：[1]寿光市人民医院,山东寿光262700

出　　处：《中华灾害救援医学》2025年第1期98-101,共4页Chinese Journal of Disaster Medicine

基　　金：潍坊市卫健委科研项目(wfwsjk_2019_231)。

摘　　要：目的 探讨罗哌卡因和利多卡因用于超声引导下腰方肌阻滞(Quadratus Lumborum Block, QLB)的效果。方法 采取便利抽样法选择2019年9月至2020年3月在寿光市人民医院行下腹部开腹手术患者80例,根据随机数字表法分为试验组(罗哌卡因麻醉)和对照组(利多卡因麻醉),每组各40例。记录比较两组患者术后舒芬太尼累计消耗量和不同动作疼痛评分、舒适度评分、总体满意度评分、不良反应。结果 与对照组相比,试验组术后4h、8h、24h、48h的舒芬太尼累计消耗量明显较低(P<0.05)。对两组术后4h、8h、24h、48h静息状态下的疼痛评分检测结果进行比较,对照组评分均明显高于试验组(P<0.05)。术后4h、8h、24h、48h咳嗽和翻身状态下的疼痛评分比较差异无统计学意义(P>0.05)。试验组术后4h、8h、24h、48h舒适度量表(BCS)评分均明显高于对照组(P<0.05)。对照组不良反应总发生率(20.00%)与试验组不良反应总发生率(12.50%)差异无统计学意义(P>0.05),两组患者不良反应均可自行缓解。结论 超声引导下腰方肌阻滞镇痛,应用0.33%罗哌卡因效果优于利多卡因麻醉。Objective To investigate the efficacy of ropivacaine and lidocaine in ultrasound-guided lumbar quadratus block(QLB).Method Convenience sampling was used to select 80 patients who underwent lower abdominal open surgery at Shouguang People's Hospital from September 2019 to March 2020.According to the random number table method,they were divided into an experimental group(ropivacaine anesthesia)and a control group(lidocaine anesthesia),with 40 patients in each group.Record and compare the cumulative postoperative consumption of sufentanil and different motion pain scores,comfort scores,overall satisfaction scores,and adverse reactions between two groups of patients.Results Compared with the control group,the cumulative consumption of sufentanil in the experimental group was significantly lower at 4h,8h,24h,and 48h after surgery(P<0.05).Comparing the pain scores of two groups in resting state at 4h,8h,24h,and 48h after surgery,the control group had significantly higher scores than the experimental group(P<0.05).There was no statistically significant difference(P>0.05)in the pain scores of coughing and turning over at 4,8,24,and 48 hours after surgery.The comfort measurement scale(BCS)scores of the experimental group were significantly higher than those of the control group at 4,8,24,and 48 hours after surgery(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the control group(20.00%)and the experimental group(12.50%)(P>0.05),and both groups of patients experienced spontaneous relief of adverse reactions.Conclusion Ultrasound guided lumbar muscle block analgesia with 0.33%ropivacaine is more effective than lidocaine anesthesia.

关 键 词：超声引导 腰方肌阻滞 罗哌卡因 利多卡因 

分 类 号：R614[医药卫生—麻醉学]