区域大神经块的实用性在改善裂的术后结果
Hannah Jacobs-El1, Ankhita Samuel2, Xizhao Chen1
1The University of Virginia School of Medicine, Charlottesville, Virginia.
The Journal of craniofacial surgery
|June 12, 2023
概括
超声波引导的上关节阻塞 (SMB) 与标准的野外阻塞相比,没有显著改善术后疼痛或减少在裂 palatus 修复中使用阿片类药物. 需要进一步的研究来确定中小企业在这种患者群体中的实用性.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 面外科手术 面外科手术
- 区域麻醉地区麻醉
背景情况:
- palatoplasty用于裂 palatal 修复通常涉及显著的术后疼痛.
- 区域麻醉阻塞正在探索,以增强疼痛管理和减少阿片类药物需求.
- 目前关于特定阻塞的疗效的数据,如在这种情况下的上关阻塞 (SMB) 是有限的.
研究的目的:
- 为了比较超声波导向的上关节阻塞 (SMB) 与 palatal field阻塞在裂修复中的有效性.
- 评估SMB对术后疼痛,阿片类药物消费,食和住院时间的影响.
- 为了确定SMB是否在儿童宫腔整形中提供了比传统疼痛控制方法的优势.
主要方法:
- 对47名患者 (9-25个月) 进行裂口 palatal 修复的回顾性图表审查.
- 患者被分为两个组: palatal field block (对照组) 和超声波引导的 SMB.
- 评估的结果包括吗啡等效消费,疼痛评分,口服养时间和停留时间.
主要成果:
- 在手术后阿片类药物总给药量 (11.71比13.36毫克) 中,SMB和实地块组之间没有发现统计学上显著的差异.
- 平均疼痛评分 (5.78对5.27) 和第一次口服养的时间 (17.21对14.48小时) 也没有显著差异.
- 停留时间在两种麻醉技术之间没有显著差异.
结论:
- 在这项研究中,超声导向的上关节阻塞 (SMB) 与 palatal field阻塞相比,在裂 palatal修复中没有显示出改善的术后结果.
- 这些发现表明,在这种情况下,SMB可能不会为疼痛管理,阿片类药物使用或恢复时间提供显著的优势.
- 需要进行额外的研究,以充分阐明SMB在儿科口腔裂纹修复中的作用和潜在益处.
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