在乳房切除术后疼痛综合征管理中对勃起脊柱阻塞的不同体积传播的比较:一项前性随机比较研究
Nevert A Abdelghaffar1, Ghada F Amer2
1Department of Anesthesia, Surgical Intensive Care and Pain Management, Faculty of Medicine, Mansoura University, PO: 35516, Mansoura, Egypt. nevertadel@mans.edu.eg.
BMC anesthesiology
|August 23, 2023
概括
一个30毫升的勃起器脊柱块 (ESB) 与布皮瓦卡因和甲基普雷迪尼索隆改善了疼痛缓解和患者对乳房切除术后疼痛综合征 (PMPS) 的满意度. 一个20毫升的ESB显示疼痛管理效果较差.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 区域麻醉地区麻醉
背景情况:
- 乳房切除术后疼痛综合征 (PMPS) 是乳房手术后的慢性疼痛.
- 勃起脊柱阻塞 (ESB) 是一种用于疼痛管理的区域麻醉技术.
- 为PMPS优化ESB体积对于有效的疼痛控制至关重要.
研究的目的:
- 为了比较20毫升与30毫升勃起脊柱块 (ESB) 解决方案对乳房切除术后疼痛综合征 (PMPS) 的疗效.
- 为了评估不同ESB体积所达到的脊椎水平.
- 评估PMPS患者的疼痛改善和患者满意度.
主要方法:
- 50名患有PMPS的患者被随机分为两个组:20毫升ESB和30毫升ESB.
- 两组都接受了布皮瓦卡因,甲基普雷迪尼索隆和非离子对比剂.
- 与20毫升组相比,30毫升组获得了较大的bupivacaine和盐水量.
主要成果:
- 与20毫升组相比,30毫升ESB组实现了显著更多的阻塞段 (6.36对5.12) 和更高的T1-T6阻塞水平 (92%对24%).
- 30毫升ESB组在疼痛的数值评分表 (NRS) 中显著改善.
- 更高的阻塞水平 (T1-T6) 与更好的NRS得分和患者满意度相关.
结论:
- 与20毫升溶液相比,30毫升的ESB溶液可以为PMPS提供更好的止痛和患者满意度.
- 达到更高的脊椎阻塞水平 (T1-T6) 与改善的结果有关.
- ESB是管理乳房切除术后疼痛的可行选择,体积优化是关键.
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