全喉切除における表面的および深部頸筋のブロックと患者制御の鎮痛;ランダム化試験

Nourhan Mohamed Elsherbiny¹, Mona Gad Mostafa Elebieby¹, Aboelnour Elmorsy Badran¹

¹Anesthesia and Surgical Intensive Care, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Pain management

|September 3, 2025

まとめ

併用双極性頸椎間筋遮断 (CPB) は,全喉切除術後の患者制御鎮痛 (PCA) よりも早期の術後の痛みを軽減します. この研究は,CPB

科学分野:

麻酔科
痛みの管理
外科術

背景:

子宮頸筋ブロック (CPB) は,頭と首の鎮痛に使用されます.
患者による鎮痛 (PCA) は,痛みの管理のための代替策です.
整体喉切除は手術後の痛みを効果的にコントロールする必要があります.

研究の目的:

全喉切除術後の術後の痛み管理のための双方の表面的および深いCPBとPCAを比較する.
痛みを軽減するCPBとPCAの有効性を評価する.
血液動力学的変化と患者の回復を含む二次的アウトカムを評価する

主な方法:

ランダム化研究では,CPB (n=25) とPCA (n=25) の2つのグループを比較した.
超音波誘導による双方の表面および深層CPBがCPBグループに投与されました.
主なアウトカムは,手術後の視覚アナログスケール (VAS) の疼痛スコアでした.

主要な成果:

早期の術後のVASスコア (2時間および4時間) は,PCAグループと比較してCPBグループにおいて有意に低かった.
痛みのスコアは6時間と12時間では比較可能でしたが,CPB群では18時間と24時間では高かった.
CPB群では手術中の血液動力学がより安定しており,フェンタニル摂取,入院,合併症はグループごとに類似していた.

結論:

PCAと比較して,超音波誘導による双方向の表面および深層CPBは,全喉切除後の早期の術後の鎮痛に優れている.
CPBは,この外科的な文脈で早期の疼痛管理の改善の可能性を示しています.

キーワード:

患者による鎮痛深い子宮頸筋のブロック頭と首の手術表面的な子宮頸筋のブロック全喉切除手術

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