Karaarslan Esma, Topal Ahmet, Avcı Onur, Tuncer Uzun Sema
Department of Anestesiology, Numune Hospital, Sivas, Turkey.
Agri. 2018 Oct;30(4):183-188. doi: 10.5505/agri.2018.86619.
We aimed to retrospectively investigate the efficacy of ultrasound guided rectus sheath block (RSB) method in our study.
We scanned 235 patient files operated for abdominal pathology. Patients meeting the criteria were evaluated for intra-operative rectus sheath block and two different groups were formed. In these two groups of patients visual analogue scale (VAS) values recorded from the postoperative pain follow-up form and analgesic delivery (DEL) and analgesic demand (DEM) values recorded from patient controlled analgesia (PCA) device were compared. In addition, complaints of nausea, vomiting and constipation were evaluated.
Postoperative VAS values (Postoperative 1, 12 and 24 hours p<0.001), DEM values (Postoperative 1, 12 and 24 hours p<0.001) and total amount of morphine consumed (Postoperative 1, 12 and 24 hours p<0.001) were lower in patients with RSB. Also, in patients with RSB nausea (p=0.014) and vomiting was less seen postoperatively (p=0.007). In the first 24 hours after surgery, constipation was seen in 8 patients with RSB and constipation was seen in 30 patients without RSB (p=0.00).
Ultrasound guided rectus sheath block is an effective method for postoperative pain control.
我们旨在回顾性研究超声引导腹直肌鞘阻滞（RSB）方法在本研究中的疗效。
我们扫描了235例因腹部疾病接受手术的患者档案。符合标准的患者接受术中腹直肌鞘阻滞评估，并分为两组。比较这两组患者术后疼痛随访表中记录的视觉模拟评分（VAS）值以及患者自控镇痛（PCA）装置记录的镇痛给药量（DEL）和镇痛需求量（DEM）值。此外，还对恶心、呕吐和便秘的主诉进行了评估。
接受RSB的患者术后VAS值（术后1、12和24小时，p<0.001）、DEM值（术后1、12和24小时，p<0.001）以及吗啡总消耗量（术后1、12和24小时，p<0.001）均较低。此外，接受RSB的患者术后恶心（p=0.014）和呕吐较少见（p=0.007）。术后24小时内，8例接受RSB的患者出现便秘，30例未接受RSB的患者出现便秘（p=0.00）。
超声引导腹直肌鞘阻滞是一种有效的术后疼痛控制方法。
