下背部疼痛缓解和扩散水平的比较,在上下腰部勃起器脊柱平面阻塞后
JiHee Hong1, JiHoon Park1, Seungwon Lee1
1Department of Anesthesiology and Pain Medicine, Keimyung University Dongsan Hospital, Daegu, South Korea.
Pain physician
|November 17, 2023
概括
与L4ESPB相比,L2勃起器脊柱平面块 (ESPB) 在腰部疼痛患者中显示了局部麻醉剂的更大传播. 这两种技术都有效地减少了疼痛,并改善了功能.
科学领域:
- 疼痛管理 疼痛管理
- 区域麻醉地区麻醉
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 勃起器脊柱平面阻塞 (ESPB) 是一种超声波引导的胸部疼痛管理技术,以其易于使用,最小入侵性和安全性而闻名.
- 尽管它具有优势,但对ESPB局部麻醉剂的止痛效果和精确传播的研究有限.
研究的目的:
- 为了比较镇痛效果和局部麻醉剂在上部 (L2) 和下部 (L4) 腰部勃起器脊柱平面块之间的传播.
主要方法:
- 一项前性随机研究,涉及84名腰部疼痛患者,接受L2或L4腰部ESPB.
- 注射使用20毫升0.2%的罗皮瓦卡因与对比剂,随后进行光镜评估麻醉剂的传播.
- 用数字评分表 (NRS-11) 和背部疼痛功能表来衡量镇痛效果.
主要成果:
- 无论是L2和L4ESPB组都报告出色到中度的腰部疼痛缓解 (分别为83.3%和78.5%).
- 在两组中都观察到显著的疼痛减轻 (NRS-11) 和功能改善.
- 与L4 ESPB组相比,L2 ESPB组在脊椎段中表现出显著更大的麻醉剂传播 (2.7对2.0段).
结论:
- 腰部ESPB的L2和L4都提供了显著的短期疼痛缓解和腰部疼痛的功能改善.
- 与L4 ESPB相比,L2 ESPB技术导致局部麻醉剂的传播更广泛.
- 需要进一步的研究来评估腰部ESPB的长期止痛疗效.
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