Đánh giá hiệu quả giảm đau trong và sau mổ cột sống thắt lưng của phương pháp gây tê mặt phẳng cơ dựng sống (ESP block) tại đốt sống thắt lưng l3=Efficacy of erector spinae plane block for postoperative analgesia in lumbar spine surgery at l3 transverse process

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Hồng Hoàng, Hữu Tú Nguyễn, Thu Duyên Nguyễn, Việt Đức Trần, Hoàng Phương Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.184-191

Bộ sưu tập: Metadata

ID: 477580

Thêm vào giỏ

Nghiên cứu được tiến hành nhằm đánh giá hiệu quả giảm đau trong và sau mổ cột sống thắt lưng của phương pháp gây tê mặt phẳng cơ dựng sống (ESP block). Phương pháp nghiên cứu: Nghiên cứu can thiệp ngẫu nhiên được thực hiện tại Bệnh viện Đại học Y Hà Nội từ tháng 10 năm 2021 đến tháng 10 năm 2022 gồm 66 bệnh nhân phẫu thuật cột sống thắt lưng chia hai nhóm: Nhóm chứng và nhóm ESP. Kết quả: Nhóm ESP có độ đau trong mổ và sau mổ thấp hơn nhóm chứng ở tất cả thời điểm nghiên cứu. Lượng fentanyl trong mổ trung bình ở nhóm ESP là 222,86±42,60mcg, morphin sau mổ 12 giờ là 4,69±1,43mg và sau 24 giờ là 6,06±2,45mg. Ở nhóm chứng lần lượt là 365,15±55,18mcg, 18,12±4,46mg và 20,45±5,83mg, khác biệt có ý nghĩa (p<
0,05), đồng thời tỷ lệ nôn/buồn nôn sau mổ nhóm ESP ít hơn có ý nghĩa so với nhóm chứng. Không có biến chứng nào ở nhóm ESP liên quan đến kỹ thuật hay phiền nạn sau phẫu thuật. Kết luận: Phong bế mặt phẳng cơ dựng sống là kỹ thuật giảm đau có hiệu quả giảm đau tốt trong và sau phẫu thuật.To evaluate the analgesic effect of ESP block method in lumbar spine surgery. Methods: A controlled-randomized study conducted at Hanoi Medical University Hospital from October 2021 to October 2022 including 67 lumbar spine surgery patients divided into two groups: Control group and ESP group. Results: The ESP group had higher ANIm during surgery and lower VAS after surgery than the control group at many time-points of the study. The average intraoperative fentanyl consumption in the ESP group was 222.86±42.60mcg, 12 hours-total morphin dose postoperative was 4.69±1.43mg, 24 hours-total morphin dose postoperative was 6.06±2.45mg. Data in the control group were 365.15±55.18mcg, 18.12±4.46mg and 20.45±5.83mg, respectively. The rate of postoperative nausea/vomitting was significantly lower in the ESP group compared to the control group. There were no technical complications in the ESP group. Conclusion: ESP block is an effective analgesic technique with good analgesic effect during and after surgery.

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