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Role of Ultrasound-guided Erector Spinae Plane Block during Laparoscopic Cholecystectomy under General Anesthesia
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- Author:
- No author available
- Journal Title:
- Journal of Aerospace Medicine
- Issue:
- 12
- DOI:
- 10.3969/j.issn.2095-1434.2022.12.005
- Key Word:
- 超声引导下竖脊肌平面阻滞;腹腔镜胆囊切除术;麻醉;麻醉药物用量;麻醉不良反应
Abstract： 目的 研究超声引导下竖脊肌平面阻滞(ESPB)在腹腔镜胆囊切除术麻醉中的应用价值.方法 将医院2018年10月～2020年05月收治的74例行腹腔镜胆囊切除的患者纳为研究对象,按照随机对照原则将其均分为E组与F组,均为37例,两组均行常规全身麻醉诱导,E组术前在超声引导下行ESPB,F组未行神经阻滞.比较两组患者术中生命体征,并统计两组麻醉药物使用量、麻醉不良反应等指标.结果 两组患者MAP水平均在T2时刻明显降低,在T3、T4保持低水平,T5时刻有所提高,不同时间段内,两组患者MAP水平均发生显著性改变(P＜0.05),但E组T2、T3、T4及T5时刻MAP水平均显著高于F组(P＜0.05);两组患者HR水平在T1及T2时刻持续降低,且在T3、T4保持低水平,T5时刻两组HR水平均有所上升,组内不同时间段HR水平变化显著(P＜0.05),且E组患者T1、T2、T3、T4及T5时刻HR水平均显著高于F组(P＜0.05).E组术中舒芬太尼及瑞芬太尼用量均显著少于F组(P＜0.05).E组苏醒期不良反应发生率显著低于F组(P＜0.05),苏醒期Riker镇静躁动评分(SAS)及术后24 h内最高疼痛程度视觉模拟自评量表(VAS)评分显著低于F组(P＜0.05).结论 超声引导下ESPB阻滞可保障LC患者镇痛效果,减少阿片类药物用量及麻醉相关并发症,提高患者舒适度.
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