腰方肌阻滞在腹腔镜子宫切除术后镇痛的应用

Application of Lumbar Square Muscle Block for Analgesia After L aparos Copic Hysterectomy

目的探讨超声引导下腰方肌阻滞(QLB)应用于腹腔镜子宫切除术后镇痛中的效果。方法选择2016年1月-2019年11月本院收治的68例经腹腔镜子宫切除术患者,按照随机化原则分为参照组与干预组,前一组给予0.9%氯化钠溶液,后一组给予罗哌卡因,术后于超声引导下采取双侧QLB。比较两组术后VAS评分、临床指标和不良反应发生率。结果参照组术后不同时间段静态、动态VAS评分均高于干预组,P <0.05;干预组下床活动时间短于参照组,首次排气用时少于参照组,但组间差异无统计学意义,P> 0.05;干预组不良反应发生率差异无统计学意义,P> 0.05。结论超声引导的QLB运用在腹腔镜子宫切除术后镇痛中效果确切,安全性高,值得采纳。

Objective To investigate the effect of ultrasound-guided lumbar quadriceps block(QLB) in analgesia after laparoscopic hysterectomy. Methods From January 2016 to November 2019.68 patients undergoing laparoscopic hysterectomy were selected and divided into the reference group and the intervention group according to the randomization principle. One group was given ropivacaine.and bilateral QLB was taken under ultrasound guidance after surgery. The VAS scores.clinical indicators and incidence of adverse reactions were compared between the two groups.Results The static(except 48 h) and dynamic VAS scores of the reference group at different time periods were higher than those of the intervention group. P < 0.05. which was statistically significant;the intervention group’s time to get out of bed was shorter than the reference group.and the first exhaust time was less than The reference group.but the difference between the groups P > 0.05;the incidence of adverse reactions between two groups do not have difference, P < 0.05. Conclusion The application of ultrasoundguided QLB in analgesia after laparoscopic hysterectomy is effective, safe.and worthy of adoption.