勃起器脊柱平面阻塞在开放腹部切除术期间芬太尼消费的影响:一项随机对照研究
Mohamed Ahmed Hamed1, Maged Labib Boules2, Mohamed Abd El Moniem Mahmoud2
1Department of Anesthesiology, Faculty of Medicine, Fayoum University, Fayoum, 63511, Egypt. mah07@fayoum.edu.eg.
勃起器脊柱平面阻塞 (ESPB) 在开放腹部切除术期间和之后显著减少了芬太尼的使用. 这种技术改善了术后疼痛控制,证明了其作为辅助止痛方法的有效性和安全性.
科学领域:
- 麻醉学 麻醉学
- 手术疼痛管理手术疼痛管理
- 区域麻醉地区麻醉
背景情况:
- 对于接受腹部切除术的患者来说,有效的术后止痛是至关重要的.
- 勃起器脊柱平面块 (ESPB) 是一种区域麻醉技术,具有潜在的止痛效益.
研究的目的:
- 评估手术前双边ESPB对开放腹部切除术期间芬太尼消费的影响.
- 评估ESPB在改善该患者群体的术后疼痛控制方面的有效性.
主要方法:
- 一项前性研究,涉及100名在全身麻醉下接受选择性开放腹部切除术的患者.
- 在ESPB组 (n=50) 接受了双边ESPB与bupivacaine,而对照组 (n=50) 接受了盐溶液注射.
- 测量的主要结局是手术期间的芬太尼总消耗量.
主要成果:
- 与对照组 (148.5 克) 相比,ESPB组 (82.9 克) 的手术内芬太尼消耗显着较低.
- 在ESPB组 (442.4克) 和对照组 (477.9克) 中,术后芬太尼消费量也显著降低.
- 视觉模拟尺度 (VAS) 休息和咳期间的疼痛评分在术后0-24小时的ESPB组显着较低.
结论:
- 双边ESPB是一种有效和安全的辅助方法,用于减少手术内芬太尼需求.
- 在接受开放腹部切除术的患者中,ESPB可以改善术后疼痛管理.
- 这种技术是最小的侵入性,并为疼痛控制提供了显著的好处.
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