摘要
目的探究超声引导下腹横肌平面阻滞联合右美托咪定对结直肠癌根治术的镇痛效果。方法选取2016年1月至2018年6月湖北民族大学附属民大医院行结直肠癌根除术的88例患者作为研究对象。对照组患者行超声引导下双侧腹横肌平面阻滞,观察组患者再联合右美托咪定镇痛治疗。记录2组患者术后镇痛效果、不良反应发生情况及患者对镇痛效果满意度。结果术后2 h、4 h、8 h及12 h,观察组患者视觉模拟评分(VAS)及Ramsay镇静评分均优于对照组(P<0.05)。观察组患者术后24 h内使用舒芬太尼用量为(3.12±0.26)μg/kg,按压镇痛泵(6.78±3.62)次,与对照组比较均显著减少(P<0.05)。观察组患者对术后镇痛的满意度为(9.35±0.52)分,显著高于对照组(P<0.05)。结论超声引导下腹横肌平面阻滞联合右美托咪定对结直肠癌根治术的镇痛效果显著,可减少术后其他镇痛药物使用剂量,提高患者满意度,促进其术后恢复。
Objective To explore the analgesic effect of ultrasound-guided planar block of the transverse abdominis combined with dexmedetomidine in the radical surgery for colorectal cancer.Methods Eighty-eight patients with colorectal cancer who underwent radical surgery from January 2016 to June 2018 in the hospital were enrolled as study subjects.The patients in the control group underwent ultrasound-guided bilateral transverse abdominal muscle block,while the patients in the observation group further received combined dexmedetomidine analgesia treatment.Analgesic effect,adverse reactions and rate of patient satisfaction with analgesic effect were recorded and compared between the 2 groups.Results 2,4,8 and 12 hours after surgery,the visual analogue scale(VAS)scores and Ramsay sedation scores of the observation group were all superior to those of the control group(P<0.05).The sufentanil dosage for the patients of the observation group within 24 hours after surgery was(3.12±0.26)μg/kg,and the application frequency of press analgesia pump was(6.78±3.62),which were significantly lower compared to those of the control group(P<0.05).The rate of satisfaction with postoperative analgesia in the patients in the observation group was(9.35±0.52),which was significantly higher than that of the control group(P<0.05).Conclusion Ultrasound-guided planar block of transverse abdominis combined with dexmedetomidine could produce significant analgesic effects,reduce dosage of other analgesic drugs used after surgery,and at the same time,improve patient satisfaction rate and promote postoperative recovery.
作者
杨坤渹
李扬
易勤美
田香
Yang Kunhong;Li Yang;Yi Qinmei;Tian Xiang(Department of Anesthesia,Minda Hospital Affiliated to Hubei National Medical University,Enshi 445000,China)
出处
《海军医学杂志》
2020年第3期323-325,共3页
Journal of Navy Medicine
关键词
超声引导
下腹横肌平面阻滞
右美托咪定
镇痛效果
Ultrasonic guidance
Planar block of transverse abdominis
Dexmedetomidine
Analgesic effect
