[1]韩 旭,夏晓琼,李元海.超声引导下双侧竖脊肌平面阻滞用于腰椎后入路手术的效果[J].医学信息,2022,35(05):137-139.[doi:10.3969/j.issn.1006-1959.2022.05.036]
　HAN Xu,XIA Xiao-qiong,LI Yuan-hai.Effect of Ultrasound-guided Bilateral Erector Spinal Plane Block on Lumbar Posterior Operations[J].Medical Information,2022,35(05):137-139.[doi:10.3969/j.issn.1006-1959.2022.05.036]
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超声引导下双侧竖脊肌平面阻滞用于腰椎后入路手术的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年05期
页码:
137-139
栏目:
临床研究
出版日期:
2022-03-01

文章信息/Info

Title:
Effect of Ultrasound-guided Bilateral Erector Spinal Plane Block on Lumbar Posterior Operations
文章编号:
1006-1959（2022）05-0137-03
作者:
韩 旭; 夏晓琼; 李元海
（安徽医科大学附属巢湖医院麻醉科，安徽 巢湖 238000）
Author(s):
HAN Xu; XIA Xiao-qiong; LI Yuan-hai
(Department of Pediatric Neurology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang,China)
关键词:
竖脊肌平面阻滞; 超声引导; 全身麻醉; 腰椎后入路手术
Keywords:
B cell activating factor; Interleukin-6; Autoimmune encephalitis; Viral encephalitis
分类号:
R614.4
DOI:
10.3969/j.issn.1006-1959.2022.05.036
文献标志码:
A
摘要:
目的 观察超声引导下双侧竖脊肌平面阻滞用于腰椎后入路手术的效果。方法 选择2019年10月-2020年10月安徽医科大学附属巢湖医院行择期腰椎后入路手术患者60例，随机分为观察组（S组）和对照组（P组），每组30例。P组采用单纯全身麻醉方法，S组采用超声引导下双侧ESP联合全身麻醉方法。比较两组患者术中顺阿曲库胺、舒芬太尼、瑞芬太尼、丙泊酚的用量，术后4、8、12、24 h视觉模拟评分（VAS）和PCIA按压次数，以及相关不良反应发生情况。结果 S组术中舒芬太尼、瑞芬太尼以及丙泊酚的用量均少于P组（P＜0.05）；两组顺阿曲库胺用量比较，差异无统计学意义（P＞0.05）；S组术后不同时间点VAS评分及PCIA按压次数均少于P组，不良反应发生率低于P组（P＜0.05）。结论 超声引导下双侧ESP能减少腰椎后入路手术患者麻醉药的用量，并能有效的减轻患者术后疼痛，且不良反应少。
Abstract:
Objective To explore the expression levels and significance of B cell activating factor (BAFF) and interleukin-6 (IL-6) in children with autoimmune encephalitis.Methods The clinical data of 155 children who underwent encephalitis examination in our hospital from March 2018 to March 2021 were retrospectively analyzed. According to the final diagnosis, they were divided into observation group A (52 children with autoimmune encephalitis), observation group B (53 children with viral encephalitis) and control group (50 children without encephalitis). The expression levels of BAFF and IL-6 in blood and cerebrospinal fluid of the three groups were compared.Results The levels of BAFF and IL-6 in blood and cerebrospinal fluid of observation group A and observation group B were higher than those of control group, and the difference was statistically significant (P<0.05). The levels of BAFF and IL-6 in blood and cerebrospinal fluid of observation group A were higher than those of observation group B, and the difference was statistically significant (P<0.05).Conclusion BAFF and IL-6 have high expression levels in children with autoimmune encephalitis, and have certain application value in helping the diagnosis and identification of children with autoimmune encephalitis, which can provide reference for the treatment of the disease.

参考文献/References:

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更新日期/Last Update: 1900-01-01