目的探讨腰方肌阻滞联合静脉镇痛在腹腔镜下子宫悬吊术中的应用价值。方法选取82例行子宫悬吊术的患者,按照随机数字表法分为观察组和对照组,各41例。观察组采用腰方肌阻滞联合静脉镇痛治疗,对照组采用静脉镇痛治疗,比较两组患者术后1 h、12 h、24 h的VAS评分,术后镇痛药物使用情况,以及术后不良反应情况。结果观察组患者术后1 h、12 h、24 h的VAS评分均低于对照组,镇痛药物的使用时间短于对照组,使用量少于对照组,不良反应总发生率低于对照组(均P<0.05)。结论腰方肌阻滞联合静脉镇痛可提高腹腔镜下子宫悬吊术的镇痛效果,减轻患者术后的疼痛感,减少药物的使用量及不良反应,值得临床推广。
ObjectiveTo explore the application value of quadratus lumborum block combined with intravenous analgesia in laparoscopic uterus suspension. MethodsA total of 82 patients undergoing uterus suspension were selected and divided into observation group and control group according to the random number table method, with 41 cases in each group. The observation group was treated with quadratus lumborum block combined with intravenous analgesia , while the control group was treated with intravenous analgesia. The VAS scores at 1, 12 and 24 hours after operation, the use of analgesics, as well as the adverse reactions were compared between the two groups. ResultsThe observation group yielded lower VAS scores 1, 12 and 24 hours after operation, shorter use time of analgesic drugs, less use amount of analgesic drugs, a lower total incidence of adverse reactions as compared with the control group (all P<0.05). ConclusionQuadratus lumborum block combined with intravenous analgesia can improve the analgesic effect of laparoscopic uterus suspension, alleviate the postoperative pain of patients, and reduce the use of drugs and adverse reactions, which is worthy of clinical promotion.