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中西医结合麻醉学组(筹)
自中华医学会麻醉学分会第十四届委员会成立以来,中西医结合麻醉学组(筹)也在学会领导的关怀下和前期的多方努力下组建成功。来自天津市中西医结合医院南开医院的余剑波教授荣当组长,北京中医药大学东直门医院的刘国凯教授、武汉大学人民医院的孟庆涛教授、首都医科大学附属世纪坛医院的乔辉教授、上海中医药大学附属曙光医院的宋建钢教授担任副组长,苏北人民医院的高巨教授担任学组工作秘书、首都医科大学附属北京友谊医院的安立新教授担任学术秘书,还有包括来自北京、山西、新疆、安徽、河南、甘肃等祖国各省市的34名专家教授担任学组成员。学组成员共41人,汇集了国内中西医结合麻醉领域的各位精英教授,专家团队强大。
Effects of ultrasound-guided thoracolumbar interfascial plane block combined with general anaesthesia versus general anaesthesia alone on emergence agitation in children with cerebral palsy

发布:刘国凯

审核:余剑波(二审) 余剑波(终审)

2025-09-09 15:52阅读 26

Introduction Selective posterior rhizotomy (SPR) is a  preferred procedure for relieving spastic children with  cerebral palsy, but it is associated with severe pain and  significant emergence agitation (EA). The thoracolumbar  interfascial plane (TLIP) block provides an effective blockade  to the dorsal branch of the spinal nerve. We hypothesise that  the TLIP block may be an effective tool to alleviate EA and  postoperative pain scores in children with cerebral palsy undergoing SPR.
Methods and analysis This study is a single-centre, randomised, parallel-controlled trial being conducted in  Beijing, China. A total of 50 paediatric patients with cerebral palsy scheduled for SPR are randomised in a 1:1 ratio to receive bilateral TLIP block with 0.2% ropivacaine 0.5mL/kg or control. Patients in the TLIP group receive general anaesthesiacombined with TLIP block,while patients in the control group receive only general anaesthesia, without a TLIP block. The primary outcome is the Paediatric Anaesthesia Emergence Delirium Score. The secondary outcomes are the incidence of EA, the Wong-Baker Faces Pain-rating Scale, the perioperative haemodynamics, the intraoperative remifentanil and propofol dosage, the extubation time and recovery time, and adverse reactions.
Ethics and dissemination This study was approved by the Ethics Committee of Dongzhimen Hospital, Beijing University of Chinese Medicine on 21 September 2023 (2023DZMEC-379–02). Written informed consent is obtained from the legal guardian of each patient. The results of this study will be published in peer-reviewed international journals.
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