超声引导下椎板后阻滞应用于经皮椎间孔镜手术的效果

R614.4; 目的 比较超声引导下椎板后阻滞(retrolaminar block,RLB)与局部浸润麻醉在经皮椎间孔镜腰椎间盘切除术(percutaneous endoscopic lumbar discectomy,PELD)中的麻醉效果.方法 40例美国麻醉医师协会(ASA)Ⅰ或Ⅱ级择期行PELD手术的患者,随机分为超声引导下椎板后阻滞组(RLB组)和局部浸润麻醉组(C组),每组20例.RLB组由麻醉医师在超声引导下在脊柱旁矢状位平面内行椎板后阻滞,C组由手术医师根据手术定位逐层局部浸润麻醉,所用药物均为0.5%罗哌卡因20 mL.记录入室(T0)、切皮(T1)、穿刺时(T2)、椎间孔...

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Published in西安交通大学学报(医学版) Vol. 43; no. 1; pp. 117 - 121
Main Authors 刘庆波, 王春姝, 郑少华, 肖颖, 温健, 杜恒
Format Journal Article
LanguageChinese
Published 西安交通大学第一附属医院麻醉手术部,陕西西安 710061%西安交通大学第一附属医院骨科,陕西西安 710061 05.01.2022
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ISSN1671-8259
DOI10.7652/jdyxb202201019

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Abstract R614.4; 目的 比较超声引导下椎板后阻滞(retrolaminar block,RLB)与局部浸润麻醉在经皮椎间孔镜腰椎间盘切除术(percutaneous endoscopic lumbar discectomy,PELD)中的麻醉效果.方法 40例美国麻醉医师协会(ASA)Ⅰ或Ⅱ级择期行PELD手术的患者,随机分为超声引导下椎板后阻滞组(RLB组)和局部浸润麻醉组(C组),每组20例.RLB组由麻醉医师在超声引导下在脊柱旁矢状位平面内行椎板后阻滞,C组由手术医师根据手术定位逐层局部浸润麻醉,所用药物均为0.5%罗哌卡因20 mL.记录入室(T0)、切皮(T1)、穿刺时(T2)、椎间孔成形(T3)、神经减压(T4)、缝合时(T5)VAS评分和Ramsay镇静评分,记录补救镇痛率和患者满意度,以及术中呼吸抑制、心动过速、高血压等不良反应的发生率,记录术前及术后3个月的Oswestry功能障碍指数(ODI)评分.结果 RLB组T2-4时点VAS评分和补救镇痛率显著低于C组(P<0.05),RLB组患者满意度显著高于C组(P<0.05),术中高血压和心动过速的发生率显著低于C组(P<0.05),两组患者术后3个月ODI评分明显低于术前(P<0.05),但组间ODI评分差异无统计学意义(P>0.05).结论 超声引导下椎板后阻滞(RLB)能够为PELD手术提供满意的镇痛效果,不影响下肢运动功能,不良反应少,安全性高.
AbstractList R614.4; 目的 比较超声引导下椎板后阻滞(retrolaminar block,RLB)与局部浸润麻醉在经皮椎间孔镜腰椎间盘切除术(percutaneous endoscopic lumbar discectomy,PELD)中的麻醉效果.方法 40例美国麻醉医师协会(ASA)Ⅰ或Ⅱ级择期行PELD手术的患者,随机分为超声引导下椎板后阻滞组(RLB组)和局部浸润麻醉组(C组),每组20例.RLB组由麻醉医师在超声引导下在脊柱旁矢状位平面内行椎板后阻滞,C组由手术医师根据手术定位逐层局部浸润麻醉,所用药物均为0.5%罗哌卡因20 mL.记录入室(T0)、切皮(T1)、穿刺时(T2)、椎间孔成形(T3)、神经减压(T4)、缝合时(T5)VAS评分和Ramsay镇静评分,记录补救镇痛率和患者满意度,以及术中呼吸抑制、心动过速、高血压等不良反应的发生率,记录术前及术后3个月的Oswestry功能障碍指数(ODI)评分.结果 RLB组T2-4时点VAS评分和补救镇痛率显著低于C组(P<0.05),RLB组患者满意度显著高于C组(P<0.05),术中高血压和心动过速的发生率显著低于C组(P<0.05),两组患者术后3个月ODI评分明显低于术前(P<0.05),但组间ODI评分差异无统计学意义(P>0.05).结论 超声引导下椎板后阻滞(RLB)能够为PELD手术提供满意的镇痛效果,不影响下肢运动功能,不良反应少,安全性高.
Author 肖颖
温健
杜恒
刘庆波
郑少华
王春姝
AuthorAffiliation 西安交通大学第一附属医院麻醉手术部,陕西西安 710061%西安交通大学第一附属医院骨科,陕西西安 710061
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ZHENG Shaohua
WANG Chunshu
DU Heng
LIU Qingbo
XIAO Ying
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Keywords 超声引导;椎板后阻滞;经皮椎间孔镜腰椎间盘切除术
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Snippet R614.4; 目的 比较超声引导下椎板后阻滞(retrolaminar block,RLB)与局部浸润麻醉在经皮椎间孔镜腰椎间盘切除术(percutaneous endoscopic lumbar discectomy,PELD)中的麻醉...
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Title 超声引导下椎板后阻滞应用于经皮椎间孔镜手术的效果
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