PDF(Pubmed)
Abstract：
Lumbar plexus block is often used as analgesia for adult hip surgery, but it is rarely used in pediatric patients. This study aimed to compare the efficacy and feasibility of ultrasound-guided lumbar plexus block versus transversus abdominis plane block for postoperative analgesia in children with hip dislocation. Eighty children undergoing unilateral hip dislocation surgeries at our hospital from October 2019 to February 2021 were randomized to the lumbar plexus block group (group L) and transversus abdominis plane block group (group T). Compared with group L, the regional block time in group T was lower (8.0 ± 2.5 vs 11.5 ± 2.3 min, P < 0.05), and the ultrasound image definition was better (P < 0.05). There were no significant differences in mean blood pressure and heart rate within 24 h (all P > 0.05). Children\'s Hospital of Eastern Ontario Pain Scale scores were lower in group L than in group T at 18-24 h only (all P < 0.05). The satisfying analgesia rate in group L was higher than in group T (87.5 vs 65%, P < 0.05). No regional block-related complications were found in both groups. Ultrasound-guided lumbar plexus block showed a longer postoperative analgesic effect in children with hip dislocation compared with transversus abdominis plane block.
摘要：
腰丛神经阻滞常被用作成人髋关节手术的镇痛，但它很少用于儿科患者。本研究旨在比较超声引导下腰丛阻滞与腹横肌平面阻滞用于髋关节脱位患儿术后镇痛的效果及可行性。将2019年10月至2021年2月在我院接受单侧髋关节脱位手术的80例儿童随机分为腰丛阻滞组（L组）和腹横肌平面阻滞组（T组）。与L组相比,T组区域阻滞时间较低(8.0±2.5vs11.5±2.3min,P<0.05),超声图像清晰度较好(P<0.05)。24h内平均血压和心率差异均无统计学意义(均P>0.05)。仅18~24h时,L组东安大略儿童医院疼痛量表评分均低于T组(均P<0.05)。L组的镇痛满意率高于T组（87.5vs65％，P<0.05)。两组均未发现区域阻滞相关并发症。超声引导下腰丛阻滞对髋关节脱位患儿的术后镇痛效果优于腹横肌平面阻滞。
