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在腹腔镜胆囊切除术的患者中,双边外侧斜间肋平面阻塞 (EOIPB):一种随机对照试验

Muhammet Korkusuz¹, Betul Basaran¹, Tayfun Et¹

¹From the Department of Anesthesiology and Reanimation (Korkusuz, Basaran, Et, Bilge), Karamanoglu Mehmetbey University School of Medicine; from the Department of Anesthesiology and Reanimation (Yarimoglu), Karaman Training and Research Hospital; and from the Department of Mathematics (Yildirim), Karamanoglu Mehmetbey University, Kamil Özdağ Faculty of Science, Karaman, Turkey.

Saudi medical journal

|September 30, 2023

概括

外侧斜肋间平面阻塞 (EOIPB) 在经过腹腔镜胆囊切除术的患者中显著降低了术后的特拉马多尔消耗. 虽然在阿片类药物使用方面没有临床意义,但EOIPB提高了康复得分的质量.

科学领域:

麻醉学和疼痛管理
术后恢复术后恢复
区域麻醉技术区域麻醉技术

背景情况:

术后疼痛管理对于腹腔镜胆囊切除术后的患者康复至关重要.
多模式止痛是标准的,但阿片类药物消费仍然令人担忧.
区域麻醉技术,如外部斜肋间平面阻断 (EOIPB),可以改善疼痛控制.

研究的目的:

为了评估EOIPB对拉马多尔消费在拉巴罗镜胆囊切除术后的前24小时的影响.
评估二次结果,包括疼痛评分和恢复质量.

主要方法:

80名成年患者被随机分为两组:标准多式联络止痛 (对照) 和多式联络止痛与EOIPB.
特拉马多尔消费,数值评分表 (NRS) 疼痛评分和恢复质量 (QoR-15) 评分是主要和次要结局.
还收集了有关镇静,恶心,吐和抗使用的数据.

主要成果:

与对照组 (中位数50毫克) 相比,EOIPB组 (中位数0毫克) 的特拉马多尔消费量明显较低 (p<0.001).
在所有测量点 (p<0.05) 上,EOIPB组的NRS静止和运动疼痛得分显著较低.
在EOIPB组,总QOR-15得分显著更高 (p<0.001),表明恢复质量有所改善.

结论:

在腹腔镜胆囊切除术后,EOIPB有效地减少了手术后的特拉马多尔消耗.
虽然阿片类药物减少在统计学上是显著的,但它可能不代表最小的临床重要差异.
将EOIPB添加到多模式止痛疗法显著提高了手术后24小时内恢复的质量.

关键词:

外侧倾斜的肋间间平面块块.腹腔镜胆固醇切除术腹腔镜胆固醇切除术这是一种神经障碍,神经障碍.类阿片类止痛药是一种阿片类止痛药.术后疼痛术后疼痛术后疼痛超声波学超声波学超声波学

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