腹腔镜结直肠手术中勃起器脊柱平面阻塞,以减少阿片类药物需求并促进早期出行:一项双盲随机试验
Jin-Woo Park1, Eun-Kyoung Kim2, Seongjoo Park3
1Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Scientific reports
|July 25, 2023
概括
勃起器脊柱平面阻塞 (ESPB) 在腹腔镜结直肠手术后有效减少疼痛和阿片类药物使用. 这种新的技术还缩短了住院时间,改善了患者的康复时间.
科学领域:
- 麻醉学 麻醉学
- 术后恢复 术后恢复
- 疼痛管理 疼痛管理
背景情况:
- 尽量减少手术后的疼痛,并确保快速康复是现代手术的关键问题.
- 勃起脊柱平面阻塞 (ESPB) 是一种具有低并发症率的微创性止痛技术.
- 在结直肠外科手术中ESPB的应用在本研究之前仍然未被探索.
研究的目的:
- 评估ESPB在腹腔镜结直肠手术 (LCS) 后提升早期康复的疗效.
- 确定ESPB是否可以降低LCS患者的阿片类药物消耗和疼痛强度.
主要方法:
- 进行了一项随机对照试验,将ESPB与对照组进行比较.
- 超声波引导的ESPB在胸部第十至十一层使用40毫升0.25%的布皮瓦卡因.
- 测量了疼痛强度,阿片类药物消耗,第一次出行时间和住院时间.
主要成果:
- 在手术后24小时内,ESPB组的芬太尼消耗显著减少 (P = 0.004).
- 接受ESPB治疗的患者在所有测量时间点 (P <0.05) 报告疼痛得分明显较低.
- ESPB与第一次出院的时间缩短 (P = 0.015) 和住院时间缩短 (P = 0.008) 相联系.
结论:
- ESPB是一种可行且有效的方法,可以促进LCS患者的早期康复.
- 该技术成功地减少了手术后的阿片类药物需求和疼痛强度.
- ESPB为患者的康复提供了显著的好处,包括更早的动员和更短的住院时间.
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