ĐÁNH GIÁ HIỆU QUẢ GIẢM ĐAU SAU MỔ LẤY THAI BẰNG PHƯƠNG PHÁP GÂY TÊ CƠ VUÔNG THẮT LƯNG LIỀU DUY NHẤT DƯỚI HƯỚNG DẪN SIÊU ÂM TẠI BỆNH VIỆN BƯU ĐIỆN

Abstract

Objectives: To evaluate the effectiveness of analgesia after cesarean section using a single dose of ultrasound-guided quadratus lumborum block. Research on side effects of ultrasound-guided quadratus lumborum block. Methods: A non-controlled, prospective clinical trial. The study was conducted on 100 patients undergoing C section under spinal block  at Buu Dien Hospital. They received diclofenac 100 mg rectally, paracetamol 1 g I.V every 8 hours and QLB with 15 ml Ropivacain 0.4% (when sense blockade below D12). Results: (I) In terms of analgesia: The average onset time was 6.97 ± 1.43 minutes. The average lasting duration of analgesic effect was 9.28 ± 2.15 hours. The VAS score within 48 hour postoperatively were mainly from 1 to 3 points. Rate of very satisfied was 86% and of satisfied was 14%. (II) About side effects: no serious adverse event reported. The rate of nausea and vomiting was 4%. Conclusion: Quadratus lumborum block was effective and safe in analgesia after cesarean section.