在无阿片类药物麻醉中应用外科充满指数:一个随机对照试验
Jingwei Dai1, Duozhi Wu2, Xiaoguang Cui3
1Department of Anesthesiology, Hainan Wanning People's Hospital, Wanning, Hainan, China.
Medicine
|October 31, 2023
概括
手术填充指数 (SPI) 在下腹部手术中有效指导无阿片类麻醉 (OFA),类似于其在传统麻醉中的使用. 这种方法确保了稳定的生命体征和更快的患者恢复.
科学领域:
- 麻醉学 麻醉学
- 手术监测 手术监测
- 疼痛管理 疼痛管理
背景情况:
- 对于监测外科刺激来说,没有确立的黄金标准.
- 手术充足指数 (SPI) 在常规阿片类麻醉中使用,但其在无阿片类麻醉 (OFA) 中的有效性尚未证明.
- 下腹部和盆腔手术需要有效监测有害刺激.
研究的目的:
- 评估外科整形指数 (SPI) 在无阿片类麻醉 (OFA) 中的指导值.
- 为了比较OFA与传统阿片类麻醉中的SPI监测有效性.
- 通过OFA与SPI监测来评估患者的结果.
主要方法:
- 122名接受腹部下部或骨盆外科手术的患者随机分为OFA (n=61) 和对照 (阿片类,n=61) 组.
- 两组都接受了超声导向的四角腰部阻塞;F组仅接受局部麻醉剂,而C组接受了阿片类药物.
- 监测了生命体征,,SPI,Steward分数,药物剂量和恢复时间.
主要成果:
- 两组之间一般数据或SPI值没有显著差异.
- 在较晚的时间点 (T4,T5) 中,OFA组的状态,反应和Steward分数在OFA组中较高.
- OFA组经历了更短的输出管和清醒时间,心率较低,T3时的SPI.
结论:
- 手术整形指数 (SPI) 在无阿片类麻醉 (OFA) 和基于阿片类麻醉中表现出类似的指导价值.
- 在OFA中进行SPI监测是临床上有效的,保持稳定的生命体征.
- 带有SPI监测的OFA有助于患者快速和完全康复.
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