摘要
目的探讨超声引导腹直肌肌内电刺激在上腹开腹手术患者术后镇痛的应用效果。方法本研究为前瞻性单中心单盲随机对照试验,选择中山市人民医院2022年5月至2023年8月择期行上腹部开腹手术治疗患者80例,采用随机数表法分为两组,每组各40例,两组术后均行自控静脉静脉镇痛泵,观察组患者手术结束后在超声引导下进行腹直肌肌内电刺激,记录两组围术期阿片类药物使用量、术后前3 d疼痛视觉模拟评分、总住院时长以及不良反应发生情况。结果观察组围术期使用阿片类药物总量少于对照组,差异有统计学意义(P<0.05)。观察组术后前3 d的视觉模拟量表评分均低于对照组,差异有统计学意义(P<0.05)。观察组总住院时长短于对照组,差异有统计学意义(P<0.05)。观察组患者术后不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论在超声引导下行腹直肌肌内电刺激可以减少上腹开腹手术患者围术期阿片类药物使用总量,降低术后视觉模拟量表评分,并且可以缩短总住院时长,减少不良反应发生率。
Objective To investigate the application effect of ultrasound-guided intramuscular electrical stimulation of rectus abdominis muscle in postoperative analgesia of patients undergoing upper abdominal open surgery.Methods This study was a prospective,single-center,single-blind randomized controlled trial.A total of 80 patients selectively undergoing upper abdominal open surgery admitted to Zhongshan City People’s Hospital from May 2022 to August 2023 were selected,and they were divided into the control group(n=40)and the observation group(n=40)according to the random number table method.Both groups were treated with self-control intravenous analgesia pumps after surgery,while the observation group was treated with intramuscular electrical stimulation of rectus abdominis muscle under ultrasound guidance after surgery.The amount of opioid drugs used during the perioperative period for the two groups,the visual analogue scale(VAS)of pain score for the first three days after surgery,the total hospitalization days,and the occurrence of adverse reactions(ADRs)were recorded.Results The total amount of opioid drugs used in the observation group during the perioperative period was less than that in the control group,with statistically significant difference(P<0.05).The VAS scores of the observation group in the first three days after surgery were all lower than those of the control group,with statistically significant difference(P<0.05).The total hospitalization days of the observation group were shorter than those of the control group,with statistically significant difference(P<0.05).The total incidence of postoperative ADRs in patients of the observation group was lower than that in patients of the control group,with statistically significant difference(P<0.05).Conclusion Intramuscular electrical stimulation of rectus abdominis muscle under the guidance of ultrasound can reduce the total consumption of opioid drugs,reduce the postoperative VAS scores,shorten the total hospitalization days and reduce the incidence of ADRs of patients undergoing upper abdominal open surgery during the perioperative period.
作者
马家慧
吴立新
MA Jiahui;WU Lixin(Department of Anesthesiology,Zhongshan City People’s Hospital,Guangdong,Zhongshan 528400,China)
出处
《中国医药科学》
2024年第8期113-117,共5页
China Medicine And Pharmacy
基金
广东省中山市医学科研项目(2022A020178)。
关键词
电刺激
开腹手术
术后镇痛
阿片类药物
腹直肌
Electrical stimulation
Abdominal open surgery
Postoperative analgesia
Opioid drugs
Rectus abdominis muscle
