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[1]饒福東 錢 彬 陳亭亭.超聲引導下前鋸肌阻滯對乳腺癌患者術后恢復質量的影響[J].福建醫(yī)藥雜志,2020,42(06):13-17.
　RAO Fudong,QIAN Bin,CHEN Tingting..Efficacy of ultrasound-guided serratus plane block on postoperative recovery quality undergoing modified radical mastectomy[J].FUJIAN MEDICAL JOURNAL,2020,42(06):13-17.
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超聲引導下前鋸肌阻滯對乳腺癌患者術后恢復質量的影響()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
42
期數(shù):
2020年06期
頁碼:
13-17
欄目:
臨床研究
出版日期:
2020-12-15

文章信息/Info

Title:
Efficacy of ultrasound-guided serratus plane block on postoperative recovery quality undergoing modified radical mastectomy
文章編號:
1002-2600(2020)06-0013-05
作者:
饒福東 錢 彬 陳亭亭1
福建中醫(yī)藥大學附屬人民醫(yī)院麻醉科(福州 350004)
Author(s):
RAO Fudong;  QIAN Bin;  CHEN Tingting.
Department of Anesthesiology, the Affiliated Peoples Hospital,Fujian University of Traditional Chinese Medicine, Fuzhou,Fujian 350004, China
關鍵詞:
超聲引導;  前鋸肌阻滯;  術后恢復質量;  術后鎮(zhèn)痛;  惡心嘔吐;  乳腺癌改良根治術
Keywords:
ultrasound guided;  serratus plane block postoperative;  recovery quality;  postoperative analgesia;  nausea and vomiting;  modified radical mastectomy
分類號:
R737.9
文獻標志碼:
B
摘要:
目的 評價超聲引導下前鋸肌阻滯對乳腺癌改良根治術患者術后早期恢復質量的影響。方法 選擇乳腺癌改良根治術患者61例,隨機分為觀察組30例和對照組31例。全身麻醉前,觀察組超聲引導下行單次前鋸肌阻滯,共注射0.5%羅哌卡因25 mL; 對照組接受超聲檢查未行神經阻滯。主要觀察指標為患者術后24 h恢復質量(QoR-40量表),次要觀察指標包括術中和術后阿片藥物用量、蘇醒時間、麻醉恢復室(PACU)停留時間、術后24 h疼痛評分、惡心嘔吐等不良反應發(fā)生率以及患者滿意度。結果 與對照組比較,觀察組術后24 h恢復質量好,術中和術后舒芬太尼用量減少,麻醉蘇醒時間和PACU時間縮短,術后1、48 h NRS疼痛評分較低,患者滿意度評分較高。結論 超聲引導下前鋸肌阻滯可以提高乳腺癌患者改良根治術后早期恢復質量。
Abstract:
Objective To examine the effect of ultrasound-guided serratus plane block(SPB)on the early postoperative quality of recovery undergoing modified radical mastectomy undergoing general anesthesia.Methods Sixty-one American society of anesthesiologists physical status(ASA)Ⅰ or Ⅱ patients undergoing modified radical mastectomy were randomly allocated to the observation group 30 cases or control group 31 cases.The observation group received single-injection of SPB with 25 mL of 0.5% ropivacaine, whereas the control group received no SPB before anesthesia induction.The primary outcome was the quality of recovery, which was assessed at 24 hours after surgery using the quality of recovery 40 questionnaire(QoR-40).Secondary outcomes included intraoperative and postoperative opioid consumption, the incidence of postoperative nausea or vomiting(PONV), and patient satisfaction.Results Global QoR-40 score at 24 hours following surgery was higher in the observation group than that in the control group.Intraoperative and postoperative sufentanil consumption was lower in the observation group compared with the control group.Simultaneously, NRS scores for pain at postoperative 1st, 4th, and 8th hour were lower in the observation group.Preoperative SPB also shortened the emergence time and the duration of PACU stay and improved the patients satisfaction scores.Conclusion Preoperative SPB can enhance the quality of recovery and the patients satisfaction undergoing general anesthesia for modified radical mastectomy.

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備注/Memo

備注/Memo:
基金項目:福建省中青年教師教育科研項目(JAT160234)
更新日期/Last Update: 1900-01-01