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超声引导下前锯肌平面阻滞对腹腔镜胆囊切除术术后镇痛效果的影响:一项随机临床试验。

The effect of ultrasound-guided low serratus anterior plane block on laparoscopic cholecystectomy postoperative analgesia: A randomized clinical trial.

机构信息

Department of Anesthesiology, No. 980th Hospital (Bethune International Peace Hospital) of Joint Logistic Support Force, Shijiazhuang, China.

Department of Anesthesiology, First People's Hospital of Xiangtan City, Xiangtan, China.

出版信息

Medicine (Baltimore). 2021 Nov 5;100(44):e27708. doi: 10.1097/MD.0000000000027708.

Abstract

BACKGROUND

Anterior serratus plane block for analgesia in many procedures, but there have been no reports of analgesia undergoing laparoscopic cholecystectomy (LC). We investigated the effects of ultrasonic-guided low serratory anterior block on patients undergoing LC.

METHODS

One hundred patients who undergo LC were selected and randomly divided into 2 groups: Patients in group C with routine general anesthesia and patients in group S treat low anterior serratus block combined with general anesthesia. The serratus anterior block was performed at the T8 to T9 point after anesthesia induction, before cutting leather (T0), stamp card placement (T1), 2 groups of patients' heart rate (HR), blood pressure were recorded, at the same time dosage of analgesic drugs and postoperative 0.5, 6, 12, 24 hours when resting visual analogue scale (VAS) scores were recorded in 2 groups of patients.

RESULTS

The T0 point, patients' HR, blood pressure had significant difference (P > .05), the T1 point, patients' HR, mean arterial pressure in group S lower than group C (P < .05), the amount of intra-operative propofol and remifentanil, patients in group S were less than in group C (P < .05), and resting VAS pain score at the 0.5, 6, 12 hours after operation patients in group S were lower than group C also (P < .05), resting VAS pain had no significant difference at postoperative 24 hours between 2 groups (P > .05).

CONCLUSION

Low serratus anterior plane block in LC can provide safe and effective analgesia for patients.

摘要

背景

前锯肌平面阻滞在许多手术中都有镇痛作用,但尚未有报道称其用于腹腔镜胆囊切除术(LC)。我们研究了超声引导下低位前锯肌阻滞对接受 LC 患者的影响。

方法

选择 100 例行 LC 的患者,随机分为 2 组:常规全身麻醉组(C 组)和全身麻醉联合低位前锯肌阻滞组(S 组)。麻醉诱导后在 T8 到 T9 点行前锯肌阻滞,在切皮前(T0)、放置标本袋时(T1)记录 2 组患者的心率(HR)、血压,同时记录 2 组患者的镇痛药用量和术后 0.5、6、12、24 小时静息时视觉模拟评分(VAS)。

结果

T0 点时,2 组患者的 HR、血压有显著差异(P > .05),T1 点时,S 组患者的 HR、平均动脉压低于 C 组(P < .05),S 组患者术中丙泊酚和瑞芬太尼用量少于 C 组(P < .05),术后 0.5、6、12 小时静息时 VAS 疼痛评分 S 组也低于 C 组(P < .05),术后 24 小时 2 组静息时 VAS 疼痛评分无显著差异(P > .05)。

结论

LC 中低位前锯肌平面阻滞可为患者提供安全有效的镇痛。

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