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...
Saved in:
Published in | 西安交通大学学报(医学版) Vol. 43; no. 1; pp. 117 - 121 |
---|---|
Main Authors | , , , , , |
Format | Journal Article |
Language | Chinese |
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
|
Subjects | |
Online Access | Get full text |
ISSN | 1671-8259 |
DOI | 10.7652/jdyxb202201019 |
Cover
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 |
AuthorAffiliation_xml | – name: 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 |
Author_FL | WEN Jian ZHENG Shaohua WANG Chunshu DU Heng LIU Qingbo XIAO Ying |
Author_FL_xml | – sequence: 1 fullname: LIU Qingbo – sequence: 2 fullname: WANG Chunshu – sequence: 3 fullname: ZHENG Shaohua – sequence: 4 fullname: XIAO Ying – sequence: 5 fullname: WEN Jian – sequence: 6 fullname: DU Heng |
Author_xml | – sequence: 1 fullname: 刘庆波 – sequence: 2 fullname: 王春姝 – sequence: 3 fullname: 郑少华 – sequence: 4 fullname: 肖颖 – sequence: 5 fullname: 温健 – sequence: 6 fullname: 杜恒 |
BookMark | eNo9jzFLw0AYhm-oYK1d_Q8O0bsvueQySlErFFx0Lne5RKySgkFMdwWlEB0SKiV20cFF6yAiTcE_01zMvzCgOD3DA8_Lu4Jqft93EVojeMMyKWz25CAUgAEwwcSuoToxLaIxoPYyagbBscCVoAQMWkft74-r_PEtnyf5dL74HKqnSD185XdReZ-pbJLP4iJ-XsyiIrstxq-VLUfv-UtcJqm6Gap0WowvVXKtJukqWvL4aeA2_9hAhzvbB6221tnf3WttdbSAYANrnNsGpyCItGzGDQDLBo9yBwi4DHRgUlhCSOa5rmSm9KQwHZMx4B6zdMflegOt_3YvuO9x_6jb65-f-dViN-SDExn-Pwes_wDicWtP |
ClassificationCodes | R614.4 |
ContentType | Journal Article |
Copyright | Copyright © Wanfang Data Co. Ltd. All Rights Reserved. |
Copyright_xml | – notice: Copyright © Wanfang Data Co. Ltd. All Rights Reserved. |
DBID | 2B. 4A8 92I 93N PSX TCJ |
DOI | 10.7652/jdyxb202201019 |
DatabaseName | Wanfang Data Journals - Hong Kong WANFANG Data Centre Wanfang Data Journals 万方数据期刊 - 香港版 China Online Journals (COJ) China Online Journals (COJ) |
DatabaseTitleList | |
DeliveryMethod | fulltext_linktorsrc |
DocumentTitle_FL | Anesthetic effect of ultrasound-guided retrolaminar block during percutaneous transforaminal lumbar spine endoscopic surgery |
EndPage | 121 |
ExternalDocumentID | xaykdxxb202201020 |
GrantInformation_xml | – fundername: (国家自然科学基金); (陕西省自然科学基础研究计划); (西安交通大学第一附属医院临床研究项目) funderid: (国家自然科学基金); (陕西省自然科学基础研究计划); (西安交通大学第一附属医院临床研究项目) |
GroupedDBID | --- -05 2B. 4A8 7X7 8FI 8FJ 92I 93N ABDBF ABUWG ACUHS AFKRA ALIPV ALMA_UNASSIGNED_HOLDINGS BENPR BPHCQ BVBZV BVXVI CCEZO CCPQU CIEJG EOJEC FYUFA HMCUK OBODZ PQQKQ PROAC PSX TCJ UKHRP |
ID | FETCH-LOGICAL-s1040-aa94a52b1d798a422792f5ac212e82328db7bbd8feed86dfdb6c6882af873cea3 |
ISSN | 1671-8259 |
IngestDate | Thu May 29 03:54:45 EDT 2025 |
IsPeerReviewed | false |
IsScholarly | true |
Issue | 1 |
Keywords | 超声引导;椎板后阻滞;经皮椎间孔镜腰椎间盘切除术 |
Language | Chinese |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-s1040-aa94a52b1d798a422792f5ac212e82328db7bbd8feed86dfdb6c6882af873cea3 |
PageCount | 5 |
ParticipantIDs | wanfang_journals_xaykdxxb202201020 |
PublicationCentury | 2000 |
PublicationDate | 2022-01-05 |
PublicationDateYYYYMMDD | 2022-01-05 |
PublicationDate_xml | – month: 01 year: 2022 text: 2022-01-05 day: 05 |
PublicationDecade | 2020 |
PublicationTitle | 西安交通大学学报(医学版) |
PublicationTitle_FL | Journal of Xi'an Jiaotong University(Medical Sciences) |
PublicationYear | 2022 |
Publisher | 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 |
Publisher_xml | – name: 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 |
SSID | ssib001051245 ssib051375640 ssib012416230 ssib012869364 ssib038076391 ssib022315977 ssib001104403 ssib052002713 ssib002263349 ssib036440245 ssib002039773 ssib006705401 ssj0001537995 |
Score | 2.3099236 |
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... |
SourceID | wanfang |
SourceType | Aggregation Database |
StartPage | 117 |
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 |
URI | https://d.wanfangdata.com.cn/periodical/xaykdxxb202201020 |
Volume | 43 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
journalDatabaseRights | – providerCode: PRVEBS databaseName: EBSCOhost Academic Search Ultimate issn: 1671-8259 databaseCode: ABDBF dateStart: 20130901 customDbUrl: https://search.ebscohost.com/login.aspx?authtype=ip,shib&custid=s3936755&profile=ehost&defaultdb=asn isFulltext: true dateEnd: 99991231 titleUrlDefault: https://search.ebscohost.com/direct.asp?db=asn omitProxy: true ssIdentifier: ssj0001537995 providerName: EBSCOhost |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwvV1Pa9RAFA91e_Eiior_KeKcZDWZZP4dJ7tZiqCnFnoryWajKKxgW2h7VlAK1UOLUmovevCi9SAibcEv4UfoZu238L3JNElrD60HYQlvZ15-8-a92Zn3ZjMvjnMLZjjag6W9KTkLmoFHe02ZiKzJWBJ0Uwazg4vnne8_4OOTwb0pNjXS-FV7amluNrnTXTzyXMm_WBXKwK54SvYEli1BoQBosC9cwcJwPZaNSSRJyIlkJGJE-yR0kQhbRBUlHaSjgISSyJBEnGjwHCMkVJuEHeRRrilRRAGU4YGrigyOJiogkcCrlgZHG2aBPLJjqjTRUQ0ZcKA2MK23ze0KhVEt5JHKigFf9f7tMjAljEhpiAhq6x4z9lEzKy20BSCFJNqA44Ma2lSBkMK2q3mNgHY1IkRGG9gKtNUynS15hJFN7vOUmyOGV6JuCn1Igxf6RNOKRWDPbceMrIgLfWtXLADuE-UZFNcSsg33VSxgIkoUR16NRH07hlKzHcPKH9C_KkUQ3cKPHROuMY8yNgA0zxreasdUgSxAAHJRIo0Vj7Cl6SGMEtqyN-IQLIU8LO1tzPbEYRFl_7snWpuxLIyFvJOJW1vAufCaktos83aFLxKBHZjJiuXaK84NW8_PK87qH3YqBGeYpPhxujCfoMUxK6Oq3Kfyodb5eOFJOl_yUPeUM0oF57ThjOqwHXZq2zDgZtf-zQcXPKinxaQuhmV1N5v7fm2bhAsMtMp1GbA8iGLc6rvkyq-2QSAC8OppJqEqcGvt4zsnIFAp8ZjnC8arHFCYmY0K6_YX2Rd8zCOJe1n76i7y4aKq7h5UlDkM2c_i_sOa3z5x1jljA-4xXcye55yRxUfnnfHf318MPnwd7KwONnd2fyzlH5fz9z8Hb5b33m3n2xuDrZXhyqfdreXh9uvh2heo3Xv7bfB5ZW91PX-1lK9vDtee56sv8431C85kJ5pojTftO2WaMx4-PB3HKogZTbxUKBkHJn9qxuIuePA9CdGlTBORJKnMIHaQPM3ShHe5lDTOpPC7vdi_6DT6T_u9S86Y8H2ZKC5FnEEY1uviq0EyAXoSsDAGSXbZuWl7Pm3XjJnpv8bIleMwXXVOV1PNNacx-2yudx1iodnkhh1afwB3Qvxj |
linkProvider | EBSCOhost |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E8%B6%85%E5%A3%B0%E5%BC%95%E5%AF%BC%E4%B8%8B%E6%A4%8E%E6%9D%BF%E5%90%8E%E9%98%BB%E6%BB%9E%E5%BA%94%E7%94%A8%E4%BA%8E%E7%BB%8F%E7%9A%AE%E6%A4%8E%E9%97%B4%E5%AD%94%E9%95%9C%E6%89%8B%E6%9C%AF%E7%9A%84%E6%95%88%E6%9E%9C&rft.jtitle=%E8%A5%BF%E5%AE%89%E4%BA%A4%E9%80%9A%E5%A4%A7%E5%AD%A6%E5%AD%A6%E6%8A%A5%EF%BC%88%E5%8C%BB%E5%AD%A6%E7%89%88%EF%BC%89&rft.au=%E5%88%98%E5%BA%86%E6%B3%A2&rft.au=%E7%8E%8B%E6%98%A5%E5%A7%9D&rft.au=%E9%83%91%E5%B0%91%E5%8D%8E&rft.au=%E8%82%96%E9%A2%96&rft.date=2022-01-05&rft.pub=%E8%A5%BF%E5%AE%89%E4%BA%A4%E9%80%9A%E5%A4%A7%E5%AD%A6%E7%AC%AC%E4%B8%80%E9%99%84%E5%B1%9E%E5%8C%BB%E9%99%A2%E9%BA%BB%E9%86%89%E6%89%8B%E6%9C%AF%E9%83%A8%2C%E9%99%95%E8%A5%BF%E8%A5%BF%E5%AE%89+710061%25%E8%A5%BF%E5%AE%89%E4%BA%A4%E9%80%9A%E5%A4%A7%E5%AD%A6%E7%AC%AC%E4%B8%80%E9%99%84%E5%B1%9E%E5%8C%BB%E9%99%A2%E9%AA%A8%E7%A7%91%2C%E9%99%95%E8%A5%BF%E8%A5%BF%E5%AE%89+710061&rft.issn=1671-8259&rft.volume=43&rft.issue=1&rft.spage=117&rft.epage=121&rft_id=info:doi/10.7652%2Fjdyxb202201019&rft.externalDocID=xaykdxxb202201020 |
thumbnail_s | http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=http%3A%2F%2Fwww.wanfangdata.com.cn%2Fimages%2FPeriodicalImages%2Fxaykdxxb%2Fxaykdxxb.jpg |