在白天腹腔镜检查后,用于肩部疼痛的腹腔内局部麻醉剂
P Narchi1, D Benhamou, H Fernandez
1Department of Anaesthesia, Hôpital Antoine Béclère, Clamart, France.
Lancet (London, England)
|December 21, 1991
概括
腹腔内局部麻醉剂有效地减少腹腔镜术后的术后肩部疼痛. 这种非侵入性方法提供了显著的疼痛缓解,减少了对额外止痛药的需求.
科学领域:
- 麻醉学 麻醉学
- 手术疼痛管理手术疼痛管理
背景情况:
- 手术后的肩部疼痛是腹腔镜的常见并发症,通常持续数天.
- 有效的疼痛管理策略对于改善微创手术后患者康复至关重要.
研究的目的:
- 评估腹腔内局部麻醉剂在日常诊断性腹腔镜术后减轻肩部疼痛的止痛效果.
- 为了比较lignocaine和bupivacaine与盐水和没有治疗的有效性.
主要方法:
- 一项随机对照试验,涉及80名接受诊断性腹腔镜检查的年轻女性.
- 患者被分为四组:没有腹内服,盐水,林戈卡因与上腺素,或布皮瓦卡因与上腺素.
- 术后的肩部疼痛,恶心,吐,腹痛和止痛药的需求在48小时内使用视觉模拟疼痛尺度进行评估.
主要成果:
- 与对照组和盐水组相比,lignocaine和bupivacaine都显著减少了手术后的肩部疼痛.
- 接受局部麻醉的患者需要更少的额外止痛药.
- 腹腔内局部麻醉剂的使用被很好地容忍.
结论:
- 腹腔内局部麻醉剂的施用是一种非侵入性和有效的方法,可缓解腹腔镜术后的头骨头骨疼痛.
- 这种方法可以提高患者的舒适度,并可能减少手术后的阿片类药物消费.
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