摘要
目的:探讨双侧腹直肌鞘阻滞(RSB)和腹横肌平面阻滞(TAPB)联合苯磺酸瑞马唑仑用于合并心血管疾病行腹膜透析置管术(PDC)的临床效果。方法:选择2020年8月—2021年8月收治的合并心血管疾病的慢性肾功能衰竭患者60例,按入院床位奇、偶数随机分为单侧RSB联合TAPB组(A组)、双侧RSB和TAPB联合苯磺酸瑞马唑仑组(B组),每组30例。比较两组生命体征变化、疼痛评分及心血管不良事件发生情况。结果:两组不同时间点血氧饱和度(SpO_(2))、心率(HR)对比,差异无统计学意义(P>0.05);B组麻醉后不同时间点平均动脉压(MAP)均低于A组,差异有统计学意义(P<0.05);B组术后不同时间点疼痛评分均低于A组,差异有统计学意义(P<0.05);两组术中及术后24 h均未发生严重心血管不良事件。结论:在合并心血管疾病行PDC患者中采用双侧RSB和TAPB联合苯磺酸瑞马唑仑,可维持生命体征稳定,缓解术后疼痛,且不会引发明显的心血管不良事件。
Objective:To investigate the effect of bilateral rectus sheath block(RSB)and transverse abdominis plane block(TAPB)combined with remazolam besylate for peritoneal dialysis catheter(PDC)combined with cardiovascular disease clinical effect.Methods:A total of 60 patients with chronic renal failure with cardiovascular disease who were admitted to our hospital from August 2020 to August 2021 were selected and randomly divided into unilateral RSB and TAPB groups(group A,n=30),bilateral RSB and TAPB combined with remazolam besylate group(group B,n=30).The changes of vital signs,pain scores and cardiovascular adverse events were compared between the two groups.Results:There was no significant difference in blood oxygen saturation(SpO_(2))and heart rate(HR)between the two groups at different time points(P>0.05).The mean arterial pressure(MAP)in group B was lower than that in group A at different time points after anesthesia.The difference was statistically significant(P<0.05).The postoperative pain scores of group B were lower than those of group A,and the difference was statistically significant(P<0.05),no serious cardiovascular adverse events occurred in the two groups during operation and 24 hours after operation.Conclusion:The use of bilateral RSB and TAPB combined with remazolam besylate in PDC patients with cardiovascular disease can maintain the stability of vital signs,relieve postoperative pain,and not cause obvious cardiovascular adverse events.
作者
曾淑琼
查文浩
张宇
ZENG Shuqiong;CHA Wenhao;ZHANG Yu(Jiujiang Traditional Chinese Medicine Hospital,Jiujiang 332000,China)
出处
《临床医药实践》
2023年第2期90-92,共3页
Proceeding of Clinical Medicine
基金
江西省卫生健康委员会科技计划项目(项目编号:20210067)
关键词
腹膜透析置管术
心血管疾病
双侧腹直肌鞘阻滞
腹横肌平面阻滞
苯磺酸瑞马唑仑
peritoneal dialysis catheterization
cardiovascular disease
bilateral rectus abdominis sheath block
transversus abdominis plane block
remazolam besylate
