用区域性和全身麻醉进行手腕手术的功能恢复:一项前性观察性研究
Jennifer Héroux1,2, Pierre-Olivier Bessette3, Sonia Bédard4,5
1Department of Anesthesiology, Université de Sherbrooke, Sherbrooke, QC, Canada. jennifer.heroux@usherbrooke.ca.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
|November 6, 2023
概括
与全身麻醉相比,区域麻醉没有改善骨科手腕手术后的功能恢复. 手的优势是一个令人困惑的因素,需要进一步的研究来澄清区域麻醉的影响.
科学领域:
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
- 康复医学 康复医学 康复医学
背景情况:
- 区域麻醉可以通过减少疼痛敏感度来增强术后康复.
- 有限的文献存在于骨科手腕手术中区域和全身麻醉之间的功能恢复结果的比较.
研究的目的:
- 用区域麻醉与全身麻醉进行骨科手腕手术的患者的功能恢复进行比较.
主要方法:
- 一项前性观察队列研究涉及76名患有远端辐射骨折的成年患者.
- 用QuickDASH和PRWE问卷,运动范围和握力来评估功能恢复.
- 线性混合回归模型分析了麻醉的影响,通过VAS评估疼痛和满意度.
主要成果:
- 在手术后12周,区域麻醉 (RA) 和全身麻醉 (GA) 组之间没有观察到功能恢复的显著差异 (QuickDASH:P=0.9;PRWE:P=0.93).
- 麻醉组之间的运动范围,患者满意度和术后疼痛水平在麻醉组之间是可比的.
- 在全身麻醉组中,右手握力的强度更高.
结论:
- 与骨科手腕手术全身麻醉相比,区域麻醉没有显示出优异的功能恢复.
- 肢体占主导地位在所有评估模式中都成为一个重要的混因素.
- 未来的研究应该考虑手的优势,以准确确定区域麻醉对功能恢复的影响.
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