467

  • Internet havola
  • DOI
  • UzSCI tizimida yaratilgan sana 18-10-2019
  • O'qishlar soni 412
  • Nashr sanasi 03-02-2016
  • Asosiy tilRus
  • Sahifalar40-43
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Ўзбек

Мақолада марказий нейроаксиал блок (МНБ) ўтказишда қийинчиликлар кузатилиши мумкин бўлган 39 ҳомиладор аёл тадқиқот натижалари тақдим этилади. Ҳамма текширилувчилар 2 гуруҳга бўлинди. 1 (асосий) гуруҳга 20 нафар текширилувчи кириб, ултратовуш ёрдамида умуртқалараро оралиқ аниқланди. 2-(назорат) гуруҳига 19 нафар текширилувчи кириб, мўлжалланаётган пункция учун қулай сатҳ ва кўкрак пастки қисми ҳамда бел умуртқалари ўткир ўсиқлари проекцияси клиник усул билан аниқланди. Тадқиқот натижаларига кўра пастки кўкрак ва бел умуртқаларида превентив УТТ қўллаш семизлиги ва умуртқа поғонаси деформацияси бор беморларда МНБ ўтказиш учун ишончли мўлжал берди. Ултратовуш сканерлаш пункция қилиниши керак бўлган соҳа умуртқа поғонаси анатомик структураларини тўғри баҳолашга ёрдам беради.

English

The article presents the results of a study 39 pregnant patients with the expected difficulties in carrying out the central neuraxial blockade. All the patients were divided into 2 groups. In the first (main) group, which included 20 patients used preventive ultrasound imaging of intervertebral spaces. In the second (control) group, which included 19 studied patients, the optimal level of the intended puncture and the projection of the spinous processes of the lower thoracic and lumbar spine was determined by the clinical method. According to research the use of preventive ultrasound of the lower thoracic and lumbar spine provides a fairly reliable guidelines when using CNB in patients with obesity and spinal deformity. Ultrasound scan will advance to assess the anatomical structures of the spine, which have to be perforated.

№ Muallifning F.I.Sh. Lavozimi Tashkilot nomi
1 Matlubov M.M.
2 Semenixin A.A.
3 Abidov A.K.
№ Havola nomi
1 Итоги XIV съезда федерации анестезиологов и реаниматологов России. // Журнал Анестезиология и реаниматология 2014 год № 5 (вкладыш с иллюстрациями)
2 Матинян Н.В., Белоусова Е.И., Салтанов А.И. Ультразвуковая навигация при катетеризации торакального паравертебрального пространства// Журнал Анестезиология и реаниматология 2014 год № 4. С 57-58
3 Chin KJ, Chan V: Ultrasonography as a preoperative assessment tool: Predicting the feasibility of М.М. Матлубов, А.А. Семенихин, А.К. Абидов, О.А. Хамидов Биология ва тиббиёт муаммолари, 2016, №1 (86) 43 central neuraxial blockade. Anesth Analg 2010; 110:252–3
4 Grau T, Leipold RW, Horter J., Conradi R., Martin E., Motsch J.. The lumbar epidural space in pregnancy: visualization by ultrasonography. British Journal of Anesthesia 86 (6) 798-804. 2001
5 Grau T, Leipold RW, Conradi R, Martin E: Ultrasound control for presumed difficult epidural puncture. Acta Anaesthesiol Scand 2001; 45:766 – 71
6 Kawaguchi R, Yamauch M, Sugino S, Tsukigase N, Omote K, Namiki A: Two cases of epidural anesthesia using ultrasound imaging. Masui 2007; 56:702–5
7 Ki Jinn Chin, Manoj Kumar Karmakar, Philip Peng. Ultrasonography of the Adult Thoracic and Lumbar Spine for Central Neuraxial Blockade. Anesthesiology, V 114, No 6, 1459-1485
8 O’Donnell D, Prasad A, Perlas A: Ultrasoundassisted spinal anesthesia in obese patients. Can J Anaesth 2009; 56:982–3
9 Pandin P. Combined Ultrasound and Nerve Stimulation-Guided Thoracic Epidural Catheter Placement for Analgesia Following Anterior Spine Fusion in Scoliosis//Pain Practice (Impact Factor: 2.18). 03/2009; 9(3):230-4.
10 Peng PW, Rofaeel A: Using ultrasound in a case of difficult epidural needle placement. Can J Anaesth 2006; 53:325– 6
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