超声引导下腰方肌阻滞对肾移植术后镇痛效果的影响

超声引导下腰方肌阻滞对肾移植术后镇痛效果的影响

喻乐,花璐,罗爱林

武汉市第一医院,华中科技大学同济医学院附属同济医院,华中科技大学同济医学院附属同济医院

收稿日期:2019-01-12 修回日期:2019-04-15 出版日期:2019-05-25

Effect of Ultrasound-guided Quadratus Lumborum Block on Post-operative Analgesic after Renal Transplant

Yu Le,Hua Lu and Luo Ailin

Wuhan No Hospital,Wuhan,Hubei,Tongji Medical Huazhong University Of Science Technology,Wuhan,Hubei,Tongji Medical Huazhong University Of Science Technology,Wuhan,Hubei

Received:2019-01-12 Revised:2019-04-15 Online:2019-05-25

摘要/Abstract

摘要： 目的：探讨超声引导下腰方肌阻滞对肾移植患者术后的镇痛效果。方法：选取50例同种异体肾移植手术患者，随机分为腰方肌阻滞组（QLB组，n=25）和常规全麻组（GA组，n=25），术后使用舒芬太尼配置的患者自控镇痛泵，观察患者术后24 h内舒芬太尼使用量，镇痛泵有效按压次数以及术后0、2、4、8、12、24 h静息状态视觉模拟（VAS）评分；同时记录术后发生恶心呕吐、皮肤瘙痒、低氧血症（氧饱和度<90%）等不良反应发生率。结果：与GA组相比，QLB组患者术后舒芬太尼使用量以及自控镇痛泵有效按压次数均减少（P<0.05）；QLB组术后0、2、4、8、12 h VAS评分减少（P<0.05），24 h两者差异无统计学意义（P>0.05）；QLB组患者术后恶心呕吐发生率降低（P<0.05），其余不良反应比较差异无统计学意义（P>0.05）。结论：超声引导下腰方肌阻滞能够改善肾移植患者术后疼痛反应，减少术后恶心呕吐等不良反应。

Abstract: Objective： To explore the analgesic effect of ultrasound-guided quadratus lumborum block in patients recevied renal transplantation. Methods： 50 patients who recevied allogeneic renal transplantation were randomized into two groups： quadratus lumborum block group (QLB group， n=25) and routine analgesia control group (GA group， n=25). Patients in both groups were give PCIA with sufentanil. The consumption of PCIA sufentanil within 24 h， effective pressing times of PCIA and VAS scores at 0，2，4，8，12 and 24 h after surgery were recorded. The incidence of nausea and vomiting， skin inching and hyoxemia(SpO2<90%) were recorded. Results： Compared with GA group，the amount of sufentanil consumed， effective pressing times of PCIA within 24 h after operation decreased (P<0.05) in the QLB group. There were lower resting VAS scores at 0，2，4，8，12 h after operation in patients in the QLB group(P<0.05)， and no significant difference was found at 24 h after surgery(P>0.05). The incidence of postoperative nausea and vomiting was decreased in the QLB group(P<0.05)， and other side effects had no significant difference(P>0.05). Conclusion： Ultrasound-guided quadratus lumborum block can effectively improve the postoperative pain response of renal transplant patients and reduce postoperative adverse reactions such as nausea and vomiting.

喻乐,花璐,罗爱林. 超声引导下腰方肌阻滞对肾移植术后镇痛效果的影响[J]. .

Yu Le,Hua Lu and Luo Ailin. Effect of Ultrasound-guided Quadratus Lumborum Block on Post-operative Analgesic after Renal Transplant[J]. .

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