Hiệu quả giảm đau sau phẫu thuật thay khớp háng của gây tê liên tục khoang mạc chậu dưới hướng dẫn siêu âm tại Bệnh viện Đa khoa Tâm Anh năm 2024=Postoperative analgesic of ultrasound-guided continuous fascia iliaca compartment block in hip replacement surgery at Tam Anh General Hospital in 2024

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Mạnh Trường Nguyễn, Thị Mỹ Hạnh Nguyễn, Trung Dũng Nguyễn, Xuân Anh Nguyễn

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.156-162

Bộ sưu tập: Metadata

ID: 243891

Thêm vào giỏ

Nghiên cứu nhằm đánh giá hiệu quả giảm đau và các tác dụng không mong muốn của phương pháp gây tê liên tục khoang mạc chậu dưới hướng dẫn siêu âm ở bệnh nhân phẫu thuật thay khớp háng. Đối tượng, phương pháp nghiên cứu: 30 bệnh nhân được phẫu thuật thay khớp háng theo chương trình được giảm đau sau phẫu thuật bằng phương pháp gây tê liên tục khoang mạc chậu dưới hướng dẫn siêu âm tại Khoa Gây mê hồi sức- Bệnh viện đa khoa Tâm Anh từ tháng 1 năm 2024 đến tháng 6 năm 2024. Kết quả: Thời gian làm thủ thuật là 12,51 ± 3,65 (phút). Điểm đau VAS trung bình khi nghỉ ngơi và khi vận động tại các thời điểm nghiên cứu đều <
4, không có bệnh nhân nào phải dùng phối hợp thêm PCA morphin để giải cứu và 63,7% có bệnh nhân có mức độ rất hài lòng, 33,3% ở mức độ hài lòng và 3,3% không hài lòng. Một số tác dụng không mong muốn đều thấp và không có biến chứng sau gây tê. Kết luận: Nghiên cứu của chúng tôi cho thấy phương pháp gây tê liên tục khoang mạc chậu dưới hướng dẫn siêu âm là phương pháp an toàn và hiệu quả sau phẫu thuật thay khớp háng, giúp tăng cường hồi phục cũng như tăng mức độ hài lòng của người bệnh sau phẫu thuật.The aim of the study was to evaluate the postoperative analgesic effectand the side effects of ultrasound-guided continuous fascia iliaca compartment block (FICB) in hip replacement surgery. Subject and method: 30 patients undergoing scheduled hip replacement surgery received postoperative analgesia of ultrasound-guided continuous fascia iliaca compartment block at the Department of Anesthesiology - Tam Anh General Hospital from January 2024 to June 2024. Result: It took 12.51± 3.65 minutes for FICB technique. The average VAS pain score at rest and during movement at all study times was <
4, no patient had to use PCA morphine in combination to rescue and 63.7% of patients were delighted, 33.3% were satisfied and 3.3% were dissatisfied. The side effects are low and there are no complications after anesthesia. Conclusion: Our study shows that ultrasound-guided continuous fascia iliaca compartment block is a safe and effective method after hip replacement surgery, helping to enhance recovery and increase patient satisfaction patients after surgery.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR