Đánh giá thực trạng đau dội ngược của phương pháp phong bế ống cơ khép tiêm một lần để giảm đau sau phẫu thuật nội soi khớp gối=Evaluating rebound pain of the single-shot injection adductor canal block after knee arthroscopic surgery

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Hoàng Anh Lưu, Hoàng Phương Vũ, Thị Kiều Anh Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.76-84

Bộ sưu tập: Metadata

ID: 244812

Thêm vào giỏ

A descriptive, prospective study was conducted on 108 patients undergoing arthroscopic knee surgery at Hanoi Medical University Hospital from March 2023 to August 2023. Patients received an adductor canal block with 15ml of 0.375% ropivacaine before surgery, then spinal anesthesia was used to anesthetize the knee arthroscopic surgery. After surgery, patients was monitored for pain and given pain relievers according to the protocol. The study results showed that 19.4% of patients had rebound pain
the average time of rebound pain after the end of adductor canal block was 4.17 ± 1.28 hours, the average duration of rebound pain was 3.81 ± 0.97 hours, the level of rebound pain ranged from 4 to 6, the average amount of morphine consumed during rebound pain was 7.24 ± 1.61mg, the satisfaction level in patients with rebound pain was 19.1%, much lower than patients without rebound pain with a satisfaction level of 100%.Nghiên cứu mô tả, tiến cứu được thực hiện trên 108 bệnh nhân phẫu thuật nội soi khớp gối tại Bệnh viện Đại học Y Hà Nội từ tháng 3/2023 đến tháng 8/2023. Bệnh nhân tham gia nghiên cứu được gây tê ống cơ khép bằng 15ml Ropivacain 0,375% trước mổ sau đó gây tê tuỷ sống để vô cảm phẫu thuật nội soi khớp gối, sau mổ bệnh nhân sẽ được theo dõi đau và sử dụng các thuốc giảm đau theo phác đồ. Kết quả nghiên cứu cho thấy có 19,4% bệnh nhân có đau dội ngược, thời gian xuất hiện đau dội ngược sau khi hết phong bế ống cơ khép trung bình là 4,17 ± 1,28 giờ, thời gian kéo dài đau dội ngược trung bình là 3,81 ± 0,97 giờ, mức độ đau dội ngược từ 4 đến 6, lượng morphin tiêu thụ khi đau dội ngược trung bình là 7,24 ± 1,61mg, mức độ hài lòng ở nhóm bệnh nhân có đau dội ngược là 19,1% thấp hơn nhiều nhóm bệnh nhân không có đau dội ngược có mức độ hài lòng 100%.

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