双边勃起器脊柱平面块在结直肠手术中的止痛效果:一项随机对照试验
Ozgenur Kekul1, Yasemin Burcu Ustun1, Cengiz Kaya1
1Department of Anesthesiology and Reanimation, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.
Journal of anesthesia, analgesia and critical care
|June 29, 2023
概括
超声波导向勃起器脊柱平面阻塞 (ESPB) 在结直肠手术患者中有效降低了术后疼痛和阿片类药物的使用. 这种技术改善了早期和长期的康复指标和患者舒适度.
科学领域:
- 麻醉学 麻醉学
- 手术瘤学手术瘤学
- 疼痛管理 疼痛管理
背景情况:
- 结肠直肠癌手术往往导致不充分的术后疼痛管理.
- 多模式止痛对于优化大手术后患者康复至关重要.
- 预防性区域麻醉技术越来越多地被探索以改善结果.
研究的目的:
- 为了评估超声波导向勃起器脊柱平面阻塞 (ESPB) 作为多模式止痛的一部分的疗效.
- 评估预防性ESPB对结直肠癌手术患者手术后疼痛和阿片类药物消费的影响.
主要方法:
- 一个前性,随机的,单盲试验,涉及60名接受结直肠手术的患者.
- 患者接受ESPB或是控制组,两组都接受标准的多模式止痛药.
- 主要结局是手术后24小时的吗啡消耗;次要结局包括疼痛评分,恢复指标和不良事件.
主要成果:
- 该ESPB小组显示,手术后24小时的吗啡消耗显著降低,疼痛得分降低.
- 接受ESPB治疗的患者经历了手术期间使用雷米芬坦尼尔的减少,更低的抗药需求,以及减少的发生率.
- 在ESPB组中观察到较短的第一次排便时间和较短的住院时间.
结论:
- 超声波引导的ESPB,作为多模式止痛的一部分,有效地减少了术后阿片类药物消耗和疼痛.
- ESPB的好处延伸到早期的术后期和3个月的随访.
- 在结直肠癌手术中,ESPB是一种有价值的技术,可以增强术后恢复.
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