在门诊外科手术中用于 Saddle Block 麻醉的不同局部麻醉体积的比较:一项前性随机试验
Emine N Zengin1, Kudret Y Yalnız1, Semih Başkan1
1Anesthesiology and Reanimation, Ankara Bilkent City Hospital, Ankara, TUR.
Cureus
|July 31, 2023
概括
与较高剂量 (5毫克) 相比,较低剂量的坐阻塞麻醉 (3毫克布皮瓦卡因) 显著减少了门诊直肠手术患者的排泄和排泄时间. 这表明3毫克的剂量提供了更好的恢复结果.
科学领域:
- 麻醉学 麻醉学
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 坐阻塞麻醉 (SBA) 是门诊直肠外科手术的常见选择.
- 优化麻醉技术可以改善患者的康复和减少住院时间.
研究的目的:
- 为了比较两种不同剂量的坐阻塞麻醉 (SBA) 对放电时间和外科手术期间阻塞特征的影响.
- 为了评估3毫克与5毫克高压布皮瓦卡因在门诊直肠外科手术中的疗效和康复概况.
主要方法:
- 一项前性随机对照性研究包括68名患者 (ASA I-II) 接受了门诊直肠手术.
- 患者通过SBA接受了5毫克 (I组) 或3毫克 (II组) 的0.5%高压布皮瓦卡因.
- 主要结果是出院时间;次要结果包括阻塞特征,止痛药需要,空白和调动时间.
主要成果:
- 3毫克SBA组 (II组) 在统计学上显示S4感官阻塞的时间更长 (p=0.007).
- 第二组还显示了感觉阻断回归的统计较短的持续时间 (p<0.001),减少空气的时间 (p=0.049),以及显著缩短的放电时间 (p<0.001).
- 群体之间的人口和手术特征相似.
结论:
- 马阻塞麻醉在直肠手术中有效,并发症率低.
- 3毫克的高压布皮瓦卡因剂量提供了优势,包括更快的排泄和排出,这表明它是门诊直肠手术的有利替代品.
- SBA避免了全身麻醉的副作用,如术后认知功能障碍,恶心和吐.
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