在腹腔镜切除术中,四角腰部块和横腹部平面块:一个元分析
Abdul S Alvi1, Jamal A Nasir1, Muhammad A Nizam1
1Department of Anaesthesiology, Ziauddin University, Clifton, Karachi, Sindh, 75000, Pakistan.
Pain management
|September 18, 2023
概括
四角腹腔块 (QLB) 和横腹部平面 (TAP) 都可以减少腹腔镜切术患者的术后疼痛. 与对照组相比,QLB还显著降低了手术后恶心和吐的风险.
科学领域:
- 麻醉学 麻醉学
- 手术疼痛管理手术疼痛管理
- 区域麻醉技术 区域麻醉技术
背景情况:
- 腹腔镜切除术需要有效的术后疼痛管理.
- 四角腰部块 (QLB) 和横向腹部平面 (TAP) 块是用于腹部手术的区域麻醉技术.
- 在腹腔镜切除术后,QLB和TAP对疼痛控制的比较疗效需要进一步研究.
研究的目的:
- 为了比较四角腰部块 (QLB) 和横腹部平面 (TAP) 块在腹腔透视性腎切除术后的疼痛管理中的疗效.
- 评估这些阻塞对手术后恶心和吐 (PONV) 的影响.
主要方法:
- 进行了随机对照试验的元分析.
- 研究将QLB和/或TAP技术相互或对照组进行了比较.
- 分析了休息和运动后的术后疼痛评分,以及PONV的发病率.
主要成果:
- 与对照组相比,QLB和TAP都显著降低了24小时的休息和运动后手术疼痛评分.
- 与对照组相比,QLB显示手术后恶心和吐 (PONV) 的风险在统计学上显著降低.
- 没有提供PONV的QLB和TAP之间的直接比较数据.
结论:
- 腹部横向平面 (TAP) 和四边腰部块 (QLB) 有效地降低了腹腔镜腎切除术后的疼痛评分.
- 四角腰部块 (QLB) 提供了一个额外的好处,通过减少术后恶心和吐 (PONV) 的发生率.
- 这两种技术都代表了在经过腹腔镜切除术的患者中为多模式止痛提供有价值的辅助.
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