超声引导下竖脊肌阻滞用于腰椎融合手术的恢复质量的临床疗效
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潍坊市人民医院麻醉科

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潍坊市卫生健康委员会项目(编号:wfwsjk-2019-240)


The clinical effect of ultrasound-guided erector spinal muscle block on the quality of restoration of lumbar fusion surgery
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1.Department of Anesthesia,weifang people'2.'3.hospital

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Weifang Health Committee Project (No. wfwsjk-2019-240)

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    摘要:

    [目的] 评价超声引导下竖脊肌阻滞用于腰椎融合手术的恢复质量的临床研究,并与常规多模式镇痛方法进行比较。[方法]腰椎融合手术60例,随机分为两组,竖脊肌阻滞组(ESPB组)和对照组, 两组在术中和术后都将接受相同的标准化麻醉方案。主要观察指标是术后24小时的恢复质量,由QOR-15评分确定以及术后6、12和24小时静息和运动疼痛评分。次要观察指标包括术中阿片类药物的用量、术后48小时阿片类用量、苏醒间的滞留时间、并发症的发生率、住院时间。[结果] ESPB组显著提高术后24小时QOR-15评分,两组在术后24小时静息及运动疼痛评分相似。ESPB组在术后6小时、12小时的静息、运动疼痛评分显著降低。ESPB组术中、术后48小时舒芬太尼消耗量显著降低。ESPB组苏醒间的滞留时间明显缩短,并发症的发生率明显降低,住院时间也缩短,但无明显统计学差异。[结论]超声引导竖脊肌阻滞用于腰椎融合手术可以改善患者的恢复质量,有利于改善患者的预后,提高患者满意度。

    Abstract:

    【Abstract】Objective To evaluate the clinical research of ultrasound-guided erector spinal muscle block for lumbar fusion surgery and compare it with conventional multimodal analgesia. Methods 60 cases of lumbar fusion surgery were randomly divided into two groups, the erector spinal muscle block group (ESPB group) and the control group. Both groups will receive the same standardized anesthesia plan during and after the operation. The main outcome measures were the quality of recovery at 24 hours postoperatively, as determined by the QOR-15 score and the rest and exercise pain scores at 6, 12, and 24 hours postoperatively. The secondary observation indicators include intraoperative opioid dosage, opioid dosage 48 hours postoperatively, residence time between awakenings, incidence of complications, and length of stay in hospital. Results The ESPB group significantly improved the QOR-15 scores at 24 hours postoperatively, and the rest and exercise pain scores were similar in the two groups at 24 hours postoperatively. The ESPB group had significantly lower resting and exercise pain scores at 6 hours and 12 hours after surgery. The consumption of sufentanil in the ESPB group was significantly reduced during the operation and 48 hours after the operation. In the ESPB group, the residence time between awakening was significantly shortened, the incidence of complications was significantly reduced, and the length of hospital stay was also shortened, but there was no significant statistical difference. Conclusion Ultrasound-guided erector spinal muscle block used in lumbar fusion surgery can improve the quality of the patient's recovery, help improve the patient's prognosis, and improve patient satisfaction.

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  • 收稿日期:2021-09-09
  • 最后修改日期:2022-03-16
  • 录用日期:2022-06-01
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