脊柱麻醉和勃起器脊柱平面阻塞在单边 inguinal 的比较:随机临床试验
Mustafa Kaçmaz1, Hacı Bolat2, Alirıza Erdoğan2
1Department of Anesthesiology, Faculty of Medicine, Ömer Halisdemir University, Niğde, Turkey.
Journal of minimal access surgery
|September 14, 2023
概括
勃起器脊柱平面阻塞 (ESP) 提供与脊柱麻醉 (SA) 进行修复的可比麻醉,改善了手术后疼痛控制和患者满意度. 此外,ESP还导致更快的恢复和更少的并发症.
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
- 疼痛管理 疼痛管理
背景情况:
- 的修复需要有效的麻醉和疼痛管理.
- 对比区域麻醉技术对于优化患者的治疗结果至关重要.
- 勃起脊柱平面阻塞 (ESP) 是一种较新的区域麻醉技术.
研究的目的:
- 为了比较勃起器脊柱平面阻断 (ESP) 与脊柱麻醉 (SA) 在 inguinal hernia 修复中的疗效.
- 为了评估麻醉疗效,术后止痛,动员,出院标准和并发症.
- 为了评估患者对两种麻醉技术的满意度.
主要方法:
- 一项涉及52名50岁以上患者的研究 (ASA身体状况I-III).
- 组ESP (n=26) 在L1处获得30毫升局部麻醉剂,根据需要进行瘤麻醉.
- SA组 (n=26) 在L3-L4/L2-L3.3时接受了3毫升0.5%的布皮瓦卡因.
主要成果:
- 在SA组的下部手术内疼痛 (VAS);在ESP组的下部6小时手术后VAS.
- 在ESP组显示出更快的动员,口服养和排放准备.
- 在ESP组中,患者满意度更高,术后止痛药/迪克洛菲纳克需求更低,尿和等并发症更少.
结论:
- 在 inguinal hernia 修复麻醉中,ESP 阻断不低于 SA.
- ESP提供了足够的麻醉,减少了术后疼痛和止痛药的需求.
- ESP与改善患者满意度和手术后更低的并发症率有关.
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