摘要 目的探讨超声引导下Ⅱ型胸神经阻滞(PECS-Ⅱ)用于非哺乳期乳腺炎术后的镇痛效果。方法回顾性分析西安交通大学第一附属医院2018-2019年155例全身麻醉下行非哺乳期乳腺炎切开引流术患者的临床资料及无线镇痛管理系统数据。根据是否联合超声引导下PECS-Ⅱ,将患者分为全身麻醉组(G组)和全身麻醉+PECS-Ⅱ组(G+P组)。比较两组患者基本资料,术中管理记录和术后阿片类药物使用量、镇痛不足及欠佳发生率、恶心呕吐发生率、患者满意率及住院时间。结果两组患者手术时间、气管插管/喉罩、舒芬太尼用量、瑞芬太尼用量比较差异无统计学意义(P>0.05)。与G组相比,G+P组患者术后48 h各时间段阿片类镇痛药物使用量较少(P<0.05),镇痛不足及欠佳、恶心呕吐发生率较低(P<0.05),平均住院时间下降(P<0.05)。结论全身麻醉联合PACS-Ⅱ应用于非哺乳期乳腺炎切开引流术时镇痛效果较好,值得在临床中推广应用。 Objective To explore the postoperative analgesic effect of ultrasound-guided pectoral nerves block type 2(PECS-Ⅱ)in non-lactation mastitis.Methods The clinical data and wireless analgesia management system data of 155 patients with non-lactation mastitis incision and drainage under general anesthesia in the First Affiliated Hospital of Xi′an Jiaotong University from during 2018 to 2019 were retrospectively analyzed.According to whether combining with ultrasound-guided PECS-Ⅱ,the patients were divided into the general anesthesia group(G group)and general anesthesia+PECS-Ⅱgroup(G+P group).The basic data,intraoperative management records,postoperative opioid dose,incidence rate of insufficient and poor analgesia,incidence rate of nausea and vomiting,patient satisfaction rate and hospital stay were compared between the two groups.Results There was no statistically significant difference in the operation time,the ratio of tracheal intubation/laryngeal mask,the dosage of snfentanil,and the dosage of remifentanil between the two groups(P>0.05).Compared with the G group,the dosages of opioid analgesics at different time periods within postoperative 48 h in the G+P group were decreased(P<0.05),the incidence rates of analgesic insufficience and poor analgesia,and nausea and vomiting were lower(P<0.05),and the average hospitalization time was reduced(P<0.05).Conclusion The application of general anesthesia combined with PECS-Ⅱin incision and drainage of non-lactation mastitis has good analgesic effect,which is worthy of promotion and application in clinic.
机构地区 西安交通大学第一附属医院麻醉手术部
出处 《重庆医学》 CAS 2021年第7期1152-1155,1161,共5页 Chongqing medicine
关键词 非哺乳期乳腺炎 胸神经阻滞 麻醉 术后镇痛 non-lactating mastitis pectoral nerves block anesthesia postoperative analgesia
分类号 R614 [医药卫生—麻醉学]
