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| 罗哌卡因联合地塞米松竖脊肌平面阻滞对腰椎手术患者围手术期镇痛效果的影响 | |
| 引用本文： | 张珺,李杞泽,王爽,黄晨晨,贾梦醒. 罗哌卡因联合地塞米松竖脊肌平面阻滞对腰椎手术患者围手术期镇痛效果的影响[J]. 国际麻醉学与复苏杂志, 2021, 42(2): 140-144 |
| 作者姓名： | 张珺 李杞泽 王爽 黄晨晨 贾梦醒 |
| 作者单位： | 徐州医科大学附属医院麻醉科 221002;徐州医科大学江苏省麻醉学重点实验室，江苏省麻醉与镇痛应用技术重点实验室 221004 |
| 摘 要： | 目的:观察罗哌卡因联合地塞米松竖脊肌平面阻滞（erector spinae plane block, ESPB）对腰椎手术患者围手术期镇痛效果的影响。方法:选择全身麻醉下行腰椎手术患者105例，按照随机数字表法分为3组（每组35例）：罗哌卡因+地塞米松组（RD组）、罗哌卡因+生理盐水组（R组）和对照组（C组）。RD组、... |
| 关 键 词： | 罗哌卡因 地塞米松 竖脊肌平面阻滞 腰椎手术 镇痛 |
Perioperative analgesia evaluation of lumbar spine patients with erector spinae plane block using ropivacaine combined with dexamethasone |
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| Zhang Jun,Li Qize,Wang Shuang,Huang Chenchen,Jia Mengxing. Perioperative analgesia evaluation of lumbar spine patients with erector spinae plane block using ropivacaine combined with dexamethasone[J]. international journal of anesthesiology and resuscitation, 2021, 42(2): 140-144 | |
| Authors: | Zhang Jun Li Qize Wang Shuang Huang Chenchen Jia Mengxing |
| Affiliation: | (Department of Anesthesiology,the Affiliated Hospital of Xuzhou Medical University,Xuzhou 221002,China;Jiangsu Province Key Laboratory of Anesthesiology,Jiangsu Province Key Laboratory of Anesthesia and Analgesia Application Technology,Xuzhou Medical University,Xuzhou 221004,China) |
| Abstract: | Objective To observe the effects of erector spinae plane block(ESPB)using ropivacaine combined with dexamethasone on the perioperative analgesia of patients during lumbar surgery.Methods According to the random number table method,105 patients undergoing lumbar surgery under general anesthesia were divided into three groups(n=35):a ropivacaine+dexamethasone group(group RD),a ropivacaine+normal saline group(group R)and a control group(group C).Before anesthesia induction,group RD and group R were treated with 20 ml of 0.5%ropivacaine+2 ml dexamethasone(10 mg)and 20 ml of 0.5%ropivacaine+2 ml normal saline for bilateral ESPB,while no block was performed in group C.The intraoperative dosage of general anesthesia,postoperative Visual Analogue Scale(VAS)scores,the time of the first pressing analgesia pump,the dosage of sufentanil 48 h after operation,the ratio of effective pressing times of analgesia pump to actual pressing times(D1/D2),rescue analgesia rate and adverse reactions were recorded.Results The intraoperative general anesthetic dosage in group RD and group R were less than that in group C(P<0.05).The resting and turning VAS scores 2,4,8,12 h and 24 h after operation in group RD and group R were lower than those in group C(P<0.05).The resting and turning VAS scores at 24 h and 48 h in group RD were lower than those in group R and group C(P<0.05).Compared with group R and group C,group RD presented remarkable increases in the time of the first pressing analgesia pump(P<0.05),decreases in the dosage of sufentanil 48 h after operation(P<0.05)and increases in D1/D2(P<0.05),and decreases in rescue analgesia rate and the incidence of nausea and vomiting(P<0.05).Conclusions Ropivacaine combined with dexamethasone ESPB can provide good perioperative analgesia for patients undergoing lumbar surgery. |
| Keywords: | Ropivacaine Dexamethasone Erector spinal plane block Lumbar spine surgery Analgesia |
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