术后神经症状 关节镜肩部外科手术后的间层阻塞:对汇集的随机对照试验数据的探索性二次分析
Samantha Frost1, Daniel Rodrigues1, Ryan J J Amadeo1
1Anesthesiology, Perioperative and Pain Medicine, University of Manitoba Max Rady College of Medicine, Winnipeg, Manitoba, Canada.
Regional anesthesia and pain medicine
|June 9, 2023
概括
手术后的神经症状 (PONS) 在肩膀手术后很常见. 没有明确的风险因素被发现,但症状组合可能预测持久性.
科学领域:
- 麻醉学 麻醉学
- 神经学 神经学
- 整形外科手术 整形外科手术
背景情况:
- 手术后的神经症状 (PONS) 是区域麻醉和骨科手术后的已知并发症.
- 鉴别PONS患病率和风险因素对于患者管理至关重要.
研究的目的:
- 为了确定在关节镜肩部手术后PONS的患病率.
- 在这个患者群体中确定与PONS相关的潜在风险因素.
主要方法:
- 来自两项随机对照试验的数据汇总,这些试验涉及使用间块进行关节镜肩部手术的患者.
- 在术后14天和6个月时通过电话评估PONS.
- 症状定义为手术肢体的麻木,软弱或刺痛.
主要成果:
- 17.4%的患者 (83/477) 在14天后经历了PONS.
- 在14天后患有PONS的人中有12.0%在6个月后有持续的症状.
- 恢复质量较低 - - 15分 (特别是情绪领域) 与14天PONS有关;报告所有三种症状预测了持续性.
结论:
- 在关节镜肩部手术中,在超声波引导的骨干间隔块后,PONS很常见.
- 在这项研究中没有确定确定的风险因素.
- 14天后出现症状可能表明长期PONS的风险.
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