Hiệu quả giảm đau sau mổ lấy thai bằng phương pháp gây tê cơ vuông thắt lưng dưới hướng dẫn siêu âm tiêm một lần thuốc tê=The analgesia efficiency of quadratus lumborum block single shot for after caesarean section under the guidance of ultrasound

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Nga Đỗ, Thị Thoa Lương, Văn Toàn Nguyễn, Thị Lan Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.315-323

Bộ sưu tập: Metadata

ID: 242165

Thêm vào giỏ

Đánh giá hiệu quả giảm đau sau mổ lấy thai và các tác dụng không mong muốn của phương pháp gây tê cơ vuông thắt lưng tiêm một lần thuốc tê levobupivacain. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả, tiến cứu trên 60 bệnh nhân, tuổi từ 18-40, phân loại nguy cơ phẫu thuật theo Hiệp hội Bác sĩ Gây mê Hoa Kỳ (ASA) II, III, có chỉ định mổ lấy thai bằng phương pháp gây tê tuỷ sống. Sau mổ, khi bệnh nhân đau với thang điểm đau nhìn hình đồng dạng (VAS) ≥ 4, tiến hành gây tê cơ vuông thắt lưng hai bên, sau đó bệnh nhân được theo dõi trong 24 giờ. Các chỉ số: điểm VAS, thời gian chờ tác dụng, thời gian tác dụng của thuốc, lượng thuốc paracetamol, mức độ hài lòng của bệnh nhân và một số tác dụng không mong muốn được ghi lại tại các thời điểm nghiên cứu. Kết quả: Điểm VAS tại các thời điểm sau tiêm thuốc giảm đau trong 24 giờ đều nhỏ hơn 4 điểm, thời gian chờ tác dụng giảm đau là 4,2 ± 1,4 phút, thời gian tác dụng của thuốc tê là 11,95 ± 3,69 giờ, tỷ lệ rất hài lòng và hài lòng của bệnh nhân là 63% và 27%. Tác dụng không mong muốn là tê bì chân, ngứa tương ứng 6,6% và 3,3%. Kết luận: Giảm đau sau mổ bằng gây tê cơ vuông thắt lưng dưới hướng dẫn của siêu âm là phương pháp an toàn với hiệu quả giảm đau tốt, ít gặp các tác dụng không mong muốn.To evaluate the effectiveness and some side effects of analgesia after cesarean section with single shot levobupivacaine QL block. Materials and methods: Descriptive, prospective study on 60 patients, aged 18-40, ASA II, III, under spinal anesthesia for cesarean section. After surgery, when the patient has VAS score ≥ 4, the QL block was performed on both sides, after that patients were monitored for 24 hours. VAS score, time of onset, the duration of action, amount of paracetamol, patient satisfaction and some side effects were recorded. Results: VAS score at all time studied during 24 hours were less than 4, time of onset was 4.2 ± 1.4 minutes, the duration of action was 11,95 ± 3,69 hours, the rate of patient very satisfaction and satisfaction is very high (63% and 27%, respectively). Side effects were leg numbness (6.6%), itching (3,3%). Conclusion: Postoperative analgesia with quadratus lumborum block under the guidance of ultrasound is a safe and effective method, the side effect was rare.

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