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Evaluation of Analgesia Effect after Ultrasound-Guided Laparoscopic Renal Surgery.超声引导腹腔镜肾手术后镇痛效果评估。
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2
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Bilateral subcostal transversus abdominis plane block does not improve the postoperative analgesia provided by multimodal analgesia after laparoscopic cholecystectomy: A randomised placebo-controlled trial.双侧肋缘下腹横肌平面阻滞并不能改善腹腔镜胆囊切除术后多模式镇痛的术后镇痛效果:一项随机安慰剂对照试验。
Eur J Anaesthesiol. 2019 Oct;36(10):772-777. doi: 10.1097/EJA.0000000000001028.
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Ultrasound-guided posterior quadratus lumborum block for postoperative pain after laparoscopic cholecystectomy: A randomized controlled double blind study.超声引导下后路竖脊肌平面阻滞用于腹腔镜胆囊切除术后的疼痛:一项随机对照双盲研究。
J Clin Anesth. 2018 Sep;49:112-117. doi: 10.1016/j.jclinane.2018.06.027. Epub 2018 Jun 18.
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Bilateral Ultrasound-Guided Erector Spinae Plane Block Versus Transversus Abdominis Plane Block on Postoperative Analgesia after Total Abdominal Hysterectomy.双侧超声引导竖脊肌平面阻滞与腹横肌平面阻滞在全子宫切除术后的术后镇痛效果比较。
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Comparison of the analgesic efficacy of ultrasound-guided rectus sheath block and local anesthetic infiltration for laparoscopic percutaneous extraperitoneal closure in children.超声引导下腹直肌鞘阻滞与局部麻醉浸润用于儿童腹腔镜经皮腹膜外闭合术的镇痛效果比较
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Transversus abdominis plane block versus perioperative intravenous lidocaine versus patient-controlled intravenous morphine for postoperative pain control after laparoscopic colorectal surgery: study protocol for a prospective, randomized, double-blind controlled clinical trial.腹腔镜结直肠手术后腹横肌平面阻滞与围手术期静脉注射利多卡因及患者自控静脉注射吗啡用于术后疼痛控制的比较:一项前瞻性、随机、双盲对照临床试验的研究方案
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No benefit of ultrasound-guided transversus abdominis plane blocks over wound infiltration with local anaesthetic in elective laparoscopic colonic surgery: results of a double-blind randomized controlled trial.在择期腹腔镜结肠手术中,超声引导下腹横肌平面阻滞并不优于局部麻醉剂伤口浸润:一项双盲随机对照试验的结果
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Application effect analysis of peak inspiratory pressure (P) combined with end-tidal carbon dioxide pressure (PCO) monitoring in the positioning of double-lumen bronchial tubes.吸气峰压(P)联合呼气末二氧化碳分压(PCO)监测在双腔支气管导管定位中的应用效果分析
Arch Med Sci. 2023 May 24;19(3):832-837. doi: 10.5114/aoms/163322. eCollection 2023.
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Retracted: Evaluation of Analgesia Effect after Ultrasound-Guided Laparoscopic Renal Surgery.撤稿:超声引导下腹腔镜肾手术后镇痛效果评估。
Comput Math Methods Med. 2022 Dec 8;2022:9864768. doi: 10.1155/2022/9864768. eCollection 2022.
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The efficacy and safety of paravertebral block for postoperative analgesia in renal surgery: A systematic review and meta-analysis of randomized controlled trials.椎旁阻滞用于肾脏手术术后镇痛的有效性和安全性:一项随机对照试验的系统评价和荟萃分析
Front Surg. 2022 Jul 18;9:865362. doi: 10.3389/fsurg.2022.865362. eCollection 2022.

本文引用的文献

1
Audit Data Analysis and Application Based on Correlation Analysis Algorithm.基于相关分析算法的审计数据分析与应用
Comput Math Methods Med. 2021 Nov 15;2021:2059432. doi: 10.1155/2021/2059432. eCollection 2021.
2
Ultrasound-guided erector spinae plane block versus thoracic paravertebral block on postoperative analgesia after laparoscopic nephroureterectomy: study protocol of a randomized, double-blinded, non-inferiority design trial.超声引导竖脊肌平面阻滞与胸椎旁神经阻滞用于腹腔镜肾输尿管切除术后镇痛的比较:一项随机、双盲、非劣效性设计试验的研究方案
Trials. 2021 Apr 6;22(1):249. doi: 10.1186/s13063-021-05173-0.
3
Analgesic efficacy of postoperative bilateral, ultrasound-guided, posterior transversus abdominis plane block for laparoscopic colorectal cancer surgery: a randomized, prospective, controlled study.超声引导双侧腹横肌平面阻滞用于腹腔镜结直肠癌术后镇痛效果的随机前瞻性对照研究。
BMC Anesthesiol. 2021 Apr 6;21(1):107. doi: 10.1186/s12871-021-01317-6.
4
Ultrasound-guided transmuscular quadratus lumborum block reduced postoperative opioids consumptions in patients after laparoscopic hepatectomy: a three-arm randomized controlled trial.超声引导下经竖脊肌肌间 quadratus lumborum 阻滞减少腹腔镜肝切除术后患者术后阿片类药物的消耗:一项三臂随机对照试验。
BMC Anesthesiol. 2021 Feb 11;21(1):45. doi: 10.1186/s12871-021-01255-3.
5
Ultrasound guided lateral quadratus lumborum block enhanced recovery in patients undergoing laparoscopic colorectal surgery.超声引导下腰方肌外侧阻滞促进腹腔镜结直肠手术患者的快速康复。
Adv Med Sci. 2021 Mar;66(1):41-45. doi: 10.1016/j.advms.2020.12.002. Epub 2020 Dec 22.
6
Transmuscular quadratus lumborum block reduces opioid consumption and prolongs time to first opioid demand after laparoscopic nephrectomy.经竖脊肌腰方肌阻滞可减少腹腔镜肾切除术后阿片类药物的消耗,并延长首次需要阿片类药物的时间。
Reg Anesth Pain Med. 2021 Jan;46(1):18-24. doi: 10.1136/rapm-2020-101745. Epub 2020 Oct 26.
7
Transmuscular quadratus lumborum block for total laparoscopic hysterectomy: a double-blind, randomized, placebo-controlled trial.经腹直肌肌间 quadratus lumborum 阻滞在全腹腔镜子宫切除术中的应用:一项双盲、随机、安慰剂对照试验。
Reg Anesth Pain Med. 2021 Jan;46(1):25-30. doi: 10.1136/rapm-2020-101931. Epub 2020 Oct 20.
8
A randomized controlled trial on analgesic effect of repeated Quadratus Lumborum block versus continuous epidural analgesia following laparoscopic nephrectomy.一项关于腹腔镜肾切除术后重复腰方肌阻滞与连续硬膜外镇痛的镇痛效果的随机对照试验。
BMC Anesthesiol. 2019 Dec 5;19(1):221. doi: 10.1186/s12871-019-0891-7.
9
The analgesic efficacy of ultrasound-guided transversus abdominis plane block for retroperitoneoscopic renal surgery: a randomized controlled study.超声引导腹横肌平面阻滞用于后腹腔镜肾手术的镇痛效果:一项随机对照研究。
BMC Anesthesiol. 2019 Oct 18;19(1):186. doi: 10.1186/s12871-019-0850-3.
10
Analgesic effect of the ultrasound-guided subcostal approach to transmuscular quadratus lumborum block in patients undergoing laparoscopic nephrectomy: a randomized controlled trial.超声引导下肋下入路经肌肉腰方肌阻滞对腹腔镜肾切除术患者的镇痛效果:一项随机对照试验
BMC Anesthesiol. 2019 Aug 14;19(1):154. doi: 10.1186/s12871-019-0825-4.

超声引导腹腔镜肾手术后镇痛效果评估。

Evaluation of Analgesia Effect after Ultrasound-Guided Laparoscopic Renal Surgery.

机构信息

Urology Department II, Handan Central Hospital, Handan, Hebei 056000, China.

出版信息

Comput Math Methods Med. 2021 Dec 24;2021:6194806. doi: 10.1155/2021/6194806. eCollection 2021.

DOI:10.1155/2021/6194806
PMID:34976111
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8719997/
Abstract

Kidney surgery involves placing the kidney in the iliac fossa of the lower abdomen on the right or left side. Studies have found that most kidney patients experience moderate to severe pain after surgery. The stress response caused by postoperative pain, especially visceral pain, not only aggravates the patient's pain and irritability and aggravates the original complications but may also harm the early recovery of renal function and affect the survival of the kidney. Therefore, adequate postoperative analgesia for renal patients is essential. This paper combines ultrasound-guided laparoscopic technology to improve the postoperative analgesia effect of renal surgery and compares the data with experimental research methods. Through experimental research, it can be seen that the method proposed in this article has a certain effect, and ultrasound-guided laparoscopic technology can be used in follow-up clinical research to improve the analgesic effect of renal surgery.

摘要

肾脏手术包括将肾脏放置在下腹部髂窝的右侧或左侧。研究发现,大多数肾脏患者在手术后会经历中度至重度疼痛。术后疼痛引起的应激反应,特别是内脏疼痛,不仅会加重患者的疼痛和烦躁情绪,加重原有并发症,还可能损害肾功能的早期恢复,影响肾脏的生存。因此,肾脏患者术后充分的镇痛是必不可少的。本文结合超声引导腹腔镜技术,提高肾脏手术的术后镇痛效果,并采用实验研究方法进行对比。通过实验研究,可以看出本文提出的方法具有一定效果,可在后续临床研究中采用超声引导腹腔镜技术,提高肾脏手术的镇痛效果。