中国伤残医学2024,Vol.32Issue(18) :58-61.DOI:10.13214/j.cnki.cjotadm.2024.018.015

超声引导下单次椎旁神经阻滞联合全身麻醉在腹腔镜手术中的麻醉和镇痛效果分析

Anesthesia and Analgesic Effects Analysis of Ultrasound-Guided Single Paravertebral Nerve Block Combined with General Anesthesia in Laparoscopic Surgery

高志方 李岩 王景华
中国伤残医学2024,Vol.32Issue(18) :58-61.DOI:10.13214/j.cnki.cjotadm.2024.018.015

超声引导下单次椎旁神经阻滞联合全身麻醉在腹腔镜手术中的麻醉和镇痛效果分析

Anesthesia and Analgesic Effects Analysis of Ultrasound-Guided Single Paravertebral Nerve Block Combined with General Anesthesia in Laparoscopic Surgery

高志方 1李岩 2王景华3
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作者信息

  • 1. 山东省聊城市中医医院麻醉科,山东 聊城 252000
  • 2. 山东省聊城市东昌府人民医院中药房,山东 聊城 252000
  • 3. 山东省聊城市中医医院妇产科,山东 聊城 252000
  • 折叠

摘要

目的:探究超声引导下单次椎旁神经阻滞联合全身麻醉对腹腔镜手术患者的影响.方法:选取 2021年 9月—2023年 9月于聊城市中医医院行腹腔镜手术的 92例患者为研究对象,随机将其分为对照组及研究组,各 46例.对照组行全身麻醉,研究组在对照组基础上行超声引导下单次椎旁神经阻滞.比较两组麻醉效果、镇痛效果、血流动力学指标及不良反应发生情况.结果:研究组的麻醉起效时间短于对照组,麻醉维持时间长于对照组,差异均有统计学意义(P<0.05).术后 2、6、12 h,研究组的疼痛视觉模拟评分均低于对照组,差异均有统计学意义(P<0.05).麻醉后 30 min、术毕时,研究组的平均动脉压、心率均高于对照组,差异均有统计学意义(P<0.05).研究组的不良反应发生率为 8.69%,低于对照组的15.22%,但两组间比较,差异无统计学意义(P>0.05).结论:超声引导下单次椎旁神经阻滞联合全身麻醉能够获得良好的麻醉镇痛效用,维持腹腔镜手术患者术中生命体征平稳,具有一定的应用价值.

Abstract

Objective:To investigate the effect of ultrasound-guided single paravertebral nerve block combined with general anesthesia in patients with laparoscopic surgery.Methods:A total of 92 patients who underwent laparoscopic surgery in Liaocheng Traditional Chinese Medicine Hospital from September 2021 to September 2023 were selected as the study objects,and were randomly divided into a control group and a study group,with 46 cases in each group.The control group received general anesthesia,and the study group received ultrasound-guided single paravertebral nerve block on this basis.The anesthetic effect,analgesic effect,hemodynamic indexes and the occurrence of adverse reactions were compared between the two groups.Results:The onset time of anesthesia in the study group was shorter than that in the control group,and the duration of anesthesia was longer than that in the control group,the differences were statistically significant(P<0.05).At 2,6 and 12 h after surgery,the pain visual analogue scale scores of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).Data of min after anesthesia and at the end of the operation,the mean arterial pressure and heart rate of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the study group was 8.69%,lower than 15.22%in the control group,but there was no statistical significance between the two groups(P>0.05).Conclusion:Ultrasound-guided single paravertebral nerve block combined with general anesthesia can obtain good anesthetic and analgesic effect,and maintain the stable vital signs of patients undergoing laparoscopic surgery,which has certain application value.

关键词

腹腔镜手术/单次椎旁神经阻滞/全身麻醉/血流动力学/不良反应

Key words

Laparoscopic surgery/Single paravertebral nerve block/General anesthesia/Hemodynamics/Adverse reactions

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出版年

2024
中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
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