首页|星状神经节阻滞联合纳布啡对患者术后转归的影响

星状神经节阻滞联合纳布啡对患者术后转归的影响

Effect of stellate ganglion block combined with nalbuphine on the postoperative regression of patients undergoing laparoscopic cholecystectomy

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目的:探讨超声下星状神经节阻滞(SGB)联合纳布啡对腹腔镜胆囊切除术(LC)患者术后情况的影响.方法:采用随机数表法将LC患者分为对照组和联合组,每组50例.联合组在对照组基础上于全身麻醉诱导前10 min予0.25%罗哌卡因5 mL行超声引导下SGB,将两组患者效果进行对比.结果:与对照组比较,联合组各时间段平均动脉压和心率、术后VAS疼痛评分、PONV 2~4级发生率、止吐药使用率降低(P<0.05),而PONV 0~1级发生率明显升高(P<0.05).两组患者T0时平均动脉压和心率、手术时间、苏醒时间差异均无统计学意义(P>0.05).结论:SGB联合纳布啡可以减轻LC患者术中血流动力学波动,减轻术后疼痛和恶心呕吐发生率.
Objective:To investigate the effect of ultrasound stellate ganglion block (SGB) combined with nalbuphine on the postoperative condition of patients undergoing laparoscopic cholecystectomy (LC).Methods:LC patients were divided into the control group and the combined group,with 50 patients in each group.Patients in the combined group were given 0.25% ropivacaine 5 mL for 10 min before induction of general anesthesia on the basis of the control group to perform ultrasound-guided SGB.Compare the effects of two groups of patients.Results:Compared with the control group,the mean arterial pressure and heart rate at all time periods,postoperative VAS pain score,the incidence rate of PONV grade 2-4 and the use rate of antiemetic drugs were decreased,while the incidence rate of PONV grade 0-1 was significantly increased in the combined group (P<0.05).The differences in mean arterial pressure and heart rate at T0,operative time,and awakening time between the two groups were not statistically significant (P>0.05).Conclusions:SGB combined with nalbuphine attenuates intraoperative hemodynamic fluctuations and reduces the incidence of postoperative pain and nausea and vomiting in LC patients.

stellate ganglion blocknalbuphinelaparoscopic cholecystectomy

刘国英、桂红玉、姚兆红、李元海

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池州市中医医院麻醉科 安徽池州 247000

安徽医科大学第一附属医院麻醉科 安徽合肥 230022

星状神经节阻滞 纳布啡 腹腔镜下胆囊切除术

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(4)