超声导向勃起器脊柱平面阻塞与胸部外周止痛在创伤性胸部,一个潜在的随机试验
Shaimaa F Mostafa1, Gehan M Eid1
1Department of Anesthesia, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Egypt.
Journal of anaesthesiology, clinical pharmacology
|August 11, 2023
概括
超声导向勃起器脊柱平面块 (ESPB) 提供有效的疼痛缓解创伤性胸,可与胸部外周止痛疗法 (TEA) 相比. ESPB提供类似的止痛药,改善了氧化和肺功能,并减少了低血压等不良事件.
科学领域:
- 麻醉学 麻醉学
- 胸部外科手术 胸部外科手术
- 疼痛管理 疼痛管理
背景情况:
- 缺陷胸部损伤显著增加因相关疼痛而导致的发病率.
- 有效的疼痛管理对于改善患者的治疗结果至关重要.
研究的目的:
- 为了比较超声导向勃起器脊柱平面阻塞 (ESPB) 与胸部外周止痛 (TEA) 的止痛效果.
- 评估这些止痛技术对创伤性胸患者呼吸功能和不良事件的影响.
主要方法:
- 一项随机研究,涉及60名患有单侧胸的患者.
- 患者接受了TEA或ESPB与布皮瓦卡因和芬太尼,随后连续输注4天.
- 记录了疼痛评分,呼吸系统参数 (PaO2/FiO2,PaCO2),肺功能测试 (FVC,FEV1) 和不良事件.
主要成果:
- 与阻塞前值相比,TEA和ESPB都显著降低了休息和咳期间的疼痛评分 (VAS).
- 在TEA和ESPB组之间没有观察到疼痛减轻的显著差异.
- 两组都显示出氧化 (PaO2/FiO2) 和肺功能 (FVC,FEV1) 的显著改善,呼吸速率降低和PaCO2.
- 与TEA组相比,ESPB组的低血压发病率明显较低.
结论:
- 超声导向勃起器脊柱平面块 (ESPB) 为创伤性胸提供有效的止痛,与胸部外周止痛 (TEA) 相似.
- 据ESPB证实,TEA相当于缓解疼痛,并显著改善了动脉氧化和肺功能.
- ESPB与较低的副作用发生率有关,特别是低血压,这使其成为潜在的更安全的替代品.
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