[1]饶福东 钱 彬 陈亭亭.超声引导下前锯肌阻滞对乳腺癌患者术后恢复质量的影响[J].福建医药杂志,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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超声引导下前锯肌阻滞对乳腺癌患者术后恢复质量的影响()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
42
期数:
2020年06期
页码:
13-17
栏目:
临床研究
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
文章编号:
1002-2600(2020)06-0013-05
作者:
饶福东 钱 彬 陈亭亭1
福建中医药大学附属人民医院麻醉科(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
关键词:
超声引导;  前锯肌阻滞;  术后恢复质量;  术后镇痛;  恶心呕吐;  乳腺癌改良根治术
Keywords:
ultrasound guided;  serratus plane block postoperative;  recovery quality;  postoperative analgesia;  nausea and vomiting;  modified radical mastectomy
分类号:
R737.9
文献标志码:
B
摘要:
目的 评价超声引导下前锯肌阻滞对乳腺癌改良根治术患者术后早期恢复质量的影响。方法 选择乳腺癌改良根治术患者61例,随机分为观察组30例和对照组31例。全身麻醉前,观察组超声引导下行单次前锯肌阻滞,共注射0.5%罗哌卡因25 mL; 对照组接受超声检查未行神经阻滞。主要观察指标为患者术后24 h恢复质量(QoR-40量表),次要观察指标包括术中和术后阿片药物用量、苏醒时间、麻醉恢复室(PACU)停留时间、术后24 h疼痛评分、恶心呕吐等不良反应发生率以及患者满意度。结果 与对照组比较,观察组术后24 h恢复质量好,术中和术后舒芬太尼用量减少,麻醉苏醒时间和PACU时间缩短,术后1、48 h NRS疼痛评分较低,患者满意度评分较高。结论 超声引导下前锯肌阻滞可以提高乳腺癌患者改良根治术后早期恢复质量。
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.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:福建省中青年教师教育科研项目(JAT160234)
更新日期/Last Update: 1900-01-01