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Ultrasound-Guided Erector Spinae Plane Block for Lumbar Spinal Stenosis Surgery

机译:腰椎狭窄手术的超声引导射击器筛晶块

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Background: ? In this retrospective observational study, we evaluated patients who underwent elective lumbar stenosis surgery between February 1, 2019, and April 1, 2019. Patients who underwent surgery for lumbar spinal stenosis under general anesthesia alone were compared with those who underwent general anesthesia combined with erector spinae plane block. ? Aims: ? We aimed to retrospectively evaluate whether erector spinae plane block reduced opioid consumption following surgery for spinal stenosis. ? Study Design: ?A retrospective observational study . Methods: ? We collected data on the pain scores, time for the first requirement for patient-controlled analgesia with tramadol, the cumulative patient-controlled analgesia dose, requirement for rescue analgesia, time to first stand up postoperatively and the incidence of postoperative nausea and vomiting. ? Results: ? Sixty patients were included in the study. The numerical rating scale ’ s pain scores were significantly lower in the erector spinae plane group at 1, 2, 4, 6, 12 and 24 hours than in the general anesthesia group. The cumulative dose of patient-controlled analgesia with tramadol was higher in the general anesthesia group than in the ESP group [212.0 (6.6) mg, vs. 107.3 (36.9 mg), (p <0.001)]. The time to first stand up after surgery was significantly longer in the general anesthesia group (p = 0.011). ? Conclusion: ?ESP block appear to be an effective method to relieve pain after lumbar surgery.
机译:背景:?在这项回顾性观察研究中,我们评估了2019年2月1日至2019年4月1日期间接受选修腰椎狭窄手术的患者。与一般麻醉联合埃斯特埃斯特联合的人进行全身麻醉下腰椎狭窄手术的患者Spinae平面块。还是目标:?我们旨在回顾性评估肌孢料平面是否降低了脊柱狭窄手术后的阿片类药物消耗。还是学习设计:?一个回顾性观察研究。 方法:?我们收集了对疼痛评分的数据,是患者控制镇痛的第一个要求的时间,曲折的患者控制镇痛剂量,救援镇痛的要求,术后首次站立的时间和术后恶心和呕吐的发生率。还是结果:六十名患者纳入该研究。埃塞克斯皮纳氏植物群在1,2,4,6,12和24小时的数值评级规模的疼痛评分显着低于全身麻醉组。全身麻醉组患者控制镇痛的累积剂量较高,而不是ESP组[212.0(6.6)mg,与107.3(36.9mg),(P <0.001)]。在手术后首次站起来的时间在全身麻醉组中明显更长(P = 0.011)。还是结论:尤其是一种有效的方法,可缓解腰椎手术后疼痛。

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