在头部和部手术中评估表面部块的止痛效果:一个比较的随机对照研究
Himani Patel1, Neha Shah1, Afroza Syed1
1Department of Anaesthesia, Government Medical College, Sir Sayajirao General Hospital, Vadodara, IND.
Cureus
|June 22, 2023
概括
表面宫结阻断 (SCPB) 为头部和部手术提供了卓越的疼痛缓解. 它显著减少了对全身止痛药的需要,并延长了疼痛管理的持续时间,而不会引起并发症.
科学领域:
- 麻醉学 麻醉学
- 区域麻醉地区麻醉
- 疼痛管理 疼痛管理
背景情况:
- 表面交积块 (SCPB) 是一种用于头部和部手术中止痛的技术.
- 评估基准指导SCPB的优势对于优化患者的治疗结果至关重要.
- 评估止痛疗效需要监测全身止痛要求,疼痛评分和缓解疼痛的时间.
研究的目的:
- 在头手术中评估基准导向的表面宫交阻断 (SCPB) 的止痛效果.
- 为了比较接受SCPB和仅接受全身止痛治疗的患者之间的手术内和术后止痛需求.
- 评估与SCPB相关的重要参数和术后并发症.
主要方法:
- 每组21名患者的样本大小使用MedCalc软件确定了80%和95%的权力置信区间.
- 30名患者 (ASA I,II,III) 接受了下手术, tympanomastoid 手术或关节手术,分为两组.
- 组A接受全身麻醉和全身止痛;组B接受全身麻醉,随后使用10毫升0.25%布皮瓦卡因进行双边SCPB.
主要成果:
- 与A组 (97.5±13.75μg) 相比,B组 (SCPB) 的手术内芬太尼需求显著降低 (70.16±13.09μg).
- 在B组 (833.33±874.28毫克) 与A组 (2566.66±504毫克) 之间,术后对白醇的需求大幅减少.
- 疼痛缓解的持续时间在B组 (1191.33±375.36分钟) 比A组 (122.0±50.88分钟) (p<0.0001) 显著更长.
结论:
- 表面交积块 (SCPB) 为头部和部手术提供有效的术后止痛.
- SCPB显著降低了对手术内和术后全身止痛药的需求.
- 该技术与没有显著的术后并发症有关,提高了患者的安全性.
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