PDF(Pubmed)
Abstract：
UNASSIGNED: Regional anaesthesia has gained popularity in managing post-operative pain in paediatric patients. Quadratus lumborum block (QLB) is recognised as one of the peri-operative pain management techniques used during abdominal surgeries. However, no consensus about the best approach has been reached.
UNASSIGNED: Sixty paediatric patients with ages ranging from 1 to 6 as well as classification I and II of the American Society of Anesthesiologists, scheduled for laparoscopic inguinal hernia, were allocated to receive either a posterior approach (Group I) or an anterior approach (Group II) QLB. Twenty four-hour morphine consumption, the face, legs, activity, cry, and consolability (FLACC) score, duration of analgesia, performance time, and block-related complications were recorded.
UNASSIGNED: Group II showed significantly lower morphine consumption as well as a longer duration of analgesia (P = 0.039*, 0.020*, respectively), with an equivalent period for block performance being reported in the two groups (P = 0.080). At 2, 4, 6, and 12 hours post-operatively, the FLACC scores were substantially diminished in Group II compared to Group I (P = 0.001*, 0.012*, 0.002*, 0.028*, respectively). However, at twenty-four hours, comparable pain scores were observed between both groups (P = 0.626). In addition, there were no block-related complications.
UNASSIGNED: In paediatric patients scheduled for laparoscopic inguinal hernia repair, the ultra-sound-guided anterior approach of the QLB was associated with significantly reduced post-operative morphine consumption, a lower FLACC score, and a longer analgesia duration when compared to the posterior approach.
UNASSIGNED: Sixty paediatric patients with ages ranging from 1 to 6 as well as classification I and II of the American Society of Anesthesiologists, scheduled for laparoscopic inguinal hernia, were allocated to receive either a posterior approach (Group I) or an anterior approach (Group II) QLB. Twenty four-hour morphine consumption, the face, legs, activity, cry, and consolability (FLACC) score, duration of analgesia, performance time, and block-related complications were recorded.
UNASSIGNED: Group II showed significantly lower morphine consumption as well as a longer duration of analgesia (P = 0.039*, 0.020*, respectively), with an equivalent period for block performance being reported in the two groups (P = 0.080). At 2, 4, 6, and 12 hours post-operatively, the FLACC scores were substantially diminished in Group II compared to Group I (P = 0.001*, 0.012*, 0.002*, 0.028*, respectively). However, at twenty-four hours, comparable pain scores were observed between both groups (P = 0.626). In addition, there were no block-related complications.
UNASSIGNED: In paediatric patients scheduled for laparoscopic inguinal hernia repair, the ultra-sound-guided anterior approach of the QLB was associated with significantly reduced post-operative morphine consumption, a lower FLACC score, and a longer analgesia duration when compared to the posterior approach.
摘要：
■区域麻醉在儿科患者的术后疼痛管理中越来越受欢迎。腰痛阻滞（QLB）被认为是腹部手术中使用的围手术期疼痛管理技术之一。然而,尚未就最佳方法达成共识。
■60名年龄在1至6岁之间的儿科患者，以及美国麻醉师学会的I级和II级患者，计划腹腔镜腹股沟疝，被分配接受后入路（I组）或前入路（II组）QLB。二十四小时吗啡消耗,脸,腿,活动,哭泣，和可操纵性(FLACC)得分，镇痛持续时间，性能时间，记录与阻滞相关的并发症.
■II组显示出吗啡消耗显着降低以及镇痛持续时间更长（P=0.039*，0.020*,分别)，两组的阻滞表现时间相同(P=0.080)。术后2、4、6和12小时，与I组相比，II组的FLACC评分显着降低（P=0.001*，0.012*,0.002*,0.028*,分别)。然而,二十四小时后，两组间疼痛评分具有可比性(P=0.626).此外,无阻滞相关并发症.
■在计划进行腹腔镜腹股沟疝修补术的儿科患者中，超声引导下QLB前路手术与术后吗啡消耗显著减少相关,较低的FLACC分数，与后路相比，镇痛持续时间更长。
■60名年龄在1至6岁之间的儿科患者，以及美国麻醉师学会的I级和II级患者，计划腹腔镜腹股沟疝，被分配接受后入路（I组）或前入路（II组）QLB。二十四小时吗啡消耗,脸,腿,活动,哭泣，和可操纵性(FLACC)得分，镇痛持续时间，性能时间，记录与阻滞相关的并发症.
■II组显示出吗啡消耗显着降低以及镇痛持续时间更长（P=0.039*，0.020*,分别)，两组的阻滞表现时间相同(P=0.080)。术后2、4、6和12小时，与I组相比，II组的FLACC评分显着降低（P=0.001*，0.012*,0.002*,0.028*,分别)。然而,二十四小时后，两组间疼痛评分具有可比性(P=0.626).此外,无阻滞相关并发症.
■在计划进行腹腔镜腹股沟疝修补术的儿科患者中，超声引导下QLB前路手术与术后吗啡消耗显著减少相关,较低的FLACC分数，与后路相比，镇痛持续时间更长。
