超声引导下后路腰方肌阻滞对腹腔镜全子宫切除术患者术后镇痛效果的影响

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【摘要】目的：分析超声引导下后路QLB（腰方肌阻滞）对腹腔镜全子宫切除术患者的影响。方法：选取我院2020年10月—2022年10月接收的80例腹腔镜全子宫切除术患者，随机分为对照组（n=40）与观察组（n=40），分别给予PCIA（静脉自控镇痛）与超声引导下后路QLB联合PCIA。结果：两组麻醉相关指标比较存在明显差异（P

【关键词】腹腔镜；全子宫切除术；后路腰方肌阻滞；超声引导；影响

Effect of ultrasound-guided posterior quadratus lumborum block on postoperative analgesia in patients undergoing laparoscopic total hysterectomy

ZHANG Ya

Department of Anesthesiology， Shuyang Zhongxing Hospital， Shuyang， Jiangsu 223600， China

【Abstract】Objective：To analyze the effect of ultrasound-guided posterior QLB （quadratus lumborum block） on patients undergoing laparoscopic total hysterectomy.Methods：From October 2020 to October 2022，80 patients with laparoscopic total hysterectomyreceived in our hospital were selected and randomly divided into the control group （n=40） and the observation group （n=40），PCIA （patient-controlled intravenous analgesia） and ultrasound-guidedposterior QLB combined with PCIA were given respectively.Results：There were significant differences in anesthesia-related indicators between the two groups （P

【Key Words】Laparoscopy； Total hysterectomy； Posterior quadratus lumborum block； Ultrasound guidance； Impact

近年来，妇科常用的治疗术式之一即腹腔镜子宫切除术，具有术后易恢复、创伤小等应用特点，但患者受到腹腔创伤、气腹等因素影响，易出现较明显的术后疼痛[1-2]。（剩余4424字）