在前方四角腰部块应用期间,面际压力对块成功的影响:一项前性观察性研究
Korgün Ökmen1, Durdu K Yıldız1
1Department of Anesthesiology and Reanimation, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.
Anesthesia and pain medicine
|July 19, 2023
概括
在前方四角脊椎阻断 (aQLB) 应用期间的面际压力变化与感觉阻断水平相关. 这些压力变化可能会影响aQLB在腹部手术后术后疼痛管理的有效性.
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:
- 四角腰部块 (QLB) 越来越多地用于腹部手术后的术后止痛.
- 前部QLB (aQLB) 的目标是胸脊柱区域的带层.
- 了解影响阻断功效的因素至关重要.
研究的目的:
- 为了研究面际压力 (IFP) 和前四角腰部块 (aQLBs) 中的感觉阻断水平之间的关系.
- 为了确定在aQLB应用过程中压力变化是否影响阻断效率.
主要方法:
- 对67名接受腹腔镜胆囊切除术的患者进行前性研究.
- 双边aQLBs是通过放置在psoas和四角腰肌肌肉之间的导管进行的.
- IFPs (手术前,手术内,手术后) 与感觉阻断水平的相关性是主要结果.
主要成果:
- 在右侧和左侧之间观察到IFP和块级别的显著差异.
- 在手术前的IFP和手术前/术后块水平之间发现了弱负相关性.
- 在区块应用期间,手术期间和术后,IFP有显著的变化.
结论:
- 面膜层之间的压力变化似乎在前方四角腰部块 (aQLB) 应用的有效性中起作用.
- 进一步的研究可能会优化基于压力动态的aQLB技术.
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