额外的预抽局部麻醉应用,以改善整形外科的术后过程:一个随机对照试验
G Molins1, A Valls-Ontañón2, F Hernández-Alfaro2
1Anestalia, Centro Médico Teknon, Barcelona, Spain.
International journal of oral and maxillofacial surgery
|June 10, 2023
概括
在醒来之前添加罗皮瓦卡因可显著减少疼痛和阿片类药物的使用后bimaxillary骨切除术. 这种简单的止痛策略提高了患者的舒适度,并降低了手术后恶心和吐的发生率.
科学领域:
- 麻醉学 麻醉学
- 口腔和牙面部外科手术
- 疼痛管理 疼痛管理
背景情况:
- 双骨切除术是一种手术程序,可能导致显著的术后疼痛.
- 有效的疼痛管理对于患者康复和满足 bimaxillary 骨切除术后至关重要.
- 目前的疼痛管理策略通常依赖于阿片类药物,这可能导致副作用.
研究的目的:
- 为了评估添加罗皮瓦卡因作为第二次局部麻醉透在接受双骨切除术的患者的输出前的止痛效果.
- 为了比较疼痛水平,救援阿片类药物消费,以及接受单独利多卡因与利多卡因加罗皮瓦卡因的患者之间手术后恶心和吐的发生率.
主要方法:
- 一项临床试验涉及48名接受双骨切除术的患者.
- 患者被随机分为两组:接受利多卡因透的对照组和在唤醒前接受利多卡因加罗皮瓦卡因透的测试组.
- 术后疼痛使用视觉模拟尺度进行评估,并记录了救援阿片类药物消耗 (甲). 还监测了手术后的恶心和吐.
主要成果:
- 与对照组相比,罗皮瓦卡因组在2,4和8小时的术后经历的疼痛明显减少.
- 接受罗皮瓦卡因治疗的患者需要显著减少救援阿片类药物药物和较低剂量的阿片类药物.
- 术后恶心和吐的发生率在术后的前4小时内,在罗皮瓦卡因组显著降低.
结论:
- 在唤醒之前进行额外的罗皮瓦卡因透是一种简单而有效的策略,可以减少毕马克西拉骨切除术后的疼痛.
- 这种方法可以减少对术后阿片类药物的需求,从而减轻恶心和吐等相关副作用.
- 添加罗皮瓦卡因可以提高患者的舒适度,并改善毕马克西拉骨切除术后的整体康复体验.
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