杜拉穿孔外周,外周和结合脊柱外周麻醉对剖腹产的比较:一个随机对照试验
Wan-Yi Rao1, Fang Xu1, Shao-Bing Dai1
1Department of Anesthesia, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
Drug design, development and therapy
|July 24, 2023
概括
持续刺穿外周麻醉 (DPE) 提供更快的发病和改善的质量与剖腹产外周麻醉相比. 此外,DPE的血液动力效应也比脊柱和外皮麻醉相结合的效果少.
科学领域:
- 麻醉学 麻醉学
- 产科麻醉 产科麻醉 产科麻醉
背景情况:
- 基于导管的麻醉技术在产科护理中至关重要.
- 结合脊髓-外皮层 (CSE) 麻醉是复杂的,而剖腹产 (CS) 的持续刺穿外皮层 (DPE) 麻醉是不太了解的.
研究的目的:
- 为了比较新型的持续穿刺外围麻醉 (DPE) 与传统外围麻醉 (EA) 以及剖腹产的联合脊柱外围麻醉 (CSE).
- 评估DPE在产科麻醉中的有效性和安全性.
主要方法:
- 150名接受选择性CS分娩的分娩者被随机分配到接受DPE,EA或CSE麻醉.
- 主要结局:T5皮肤瘤的感觉麻醉开始.
- 二次结果:阻断时间,阻断质量,患者/外科医生的满意度,APGAR分数和副作用.
主要成果:
- 与EA相比,DPE的发病速度更快,手术水平的时间更短 (HR 2.47,P < 0.001).
- 与EA (P = 0.004) 相比,DPE导致手术内疼痛减少 (P = 0.046) 和患者满意度更高.
- 与DPE和EA相比,CSE的发病速度更快,但低血压的发生率更高,烯的需求更大.
结论:
- 与CS的EA相比,DPE麻醉提供了更快的开始和更优质的阻塞质量.
- 与CSE麻醉相比,DPE对母亲的血液动力学影响较小.
- 持续穿刺增强了外周支架的有效性,有助于对DPE的麻醉满意度.
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