医学信息2025，Vol.38Issue(20)：115-118,4.DOI:10.3969/j.issn.1006-1959.2025.20.024
超声引导竖脊肌联合横突下阻滞与硬膜外麻醉用于老年患者椎体成形术的临床观察
Clinical Observation of Ultrasound-guided Erector Spinae Combined with Subtransverse Block and Epidural Anesthesia for Vertebroplasty in Elderly Patients
摘要
Abstract
Objective To observe the application effect of ultrasound-guided erector spinae combined with subtransverse block and epidural anesthesia for vertebroplasty in elderly patients.Methods A total of 80 elderly patients who underwent vertebroplasty in the Shangrao Guangxin District People's Hospital from July 2023 to July 2024 were selected as the research objects.According to the random number table method,they were divided into control group and experimental group,with 40 patients in each group.The control group was treated with continuous epidural anesthesia,and the experimental group was treated with ultrasound-guided erector spinae combined with subtransverse block.The anesthesia-related indicators(anesthesia onset time,first walking time,first walking distance,length of hospitalization,number of 24-hour analgesic remedies,24-hour analgesic medication),vital signs(systolic blood pressure,diastolic blood pressure,heart rate),degree of pain,and incidence of adverse reactions were compared between the two groups.Results No significant differences were observed between the experimental and control groups regarding the first walking time and the first walking distance(P＞0.05),while the anesthesia onset time,length of hospitalization,the number of 24-hour analgesic remedies,and 24-hour analgesic medication were lower than those in the control group(P＜0.05).The fluctuation of vital signs in the experimental group was less than that in the control group at T1-T3 time points(P＜0.05).The static VAS score and dynamic VAS score of the experimental group at 6,8,10,12 and 24 h after operation were lower than those of the control group(P＜0.05).The incidence of adverse reactions in the experimental group(2.50%)was lower than that in the control group(17.50%)(P＜0.05).Conclusion Ultrasound-guided erector spinae combined with subtransverse block has a definite effect in vertebroplasty in elderly patients.The patient's anesthesia takes effect faster,the intraoperative vital signs are stable,the degree of pain is reduced,and the number of analgesic remedies within 24 hours and the dosage are less.It is helpful for patients to recover quickly and has high safety.关键词
超声引导竖脊肌联合横突下阻滞/硬膜外麻醉/椎体成形术/生命体征Key words
Ultrasound-guided erector spinae combined with subtransverse block/Epidural anesthesia/Vertebroplasty/Vital signs分类
临床医学引用本文复制引用
谢赐,邓笔生,汪雅..超声引导竖脊肌联合横突下阻滞与硬膜外麻醉用于老年患者椎体成形术的临床观察[J].医学信息,2025,38(20):115-118,4.基金项目
江西省卫生健康委科技计划项目(编号:202410974) （编号:202410974）
