两种麻醉方法的比较转内镜腰椎切除术:一个前性随机对照研究
Shuang Wang1, Liang Zheng1, Jun-Xiong Ma1
1Department of Orthopaedics, General Hospital of Northern Theatre Command, Shenyang, China.
Global spine journal
|December 8, 2023
概括
与局部麻醉治疗相比,监控麻醉护理 (MAC) 与局部麻醉在转内镜腰椎切除术 (TELD) 期间显著减少疼痛. 患者还报告了对MAC的更高满意度,并没有增加并发症.
科学领域:
- 神经外科 神经外科
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
背景情况:
- 跨膜内镜腰椎间盘切除术 (TELD) 是治疗腰椎间盘的微创手术.
- 在TELD中,优化麻醉技术对于患者的舒适性和程序的成功至关重要.
研究的目的:
- 为了比较TELD两种麻醉方法的疗效和安全性.
- 评估疼痛水平和患者满意度使用监控麻醉护理 (MAC) 与局部麻醉 (LA) 单独.
主要方法:
- 一项随机对照试验,涉及230名接受TELD的患者.
- 患者接受了LA与MAC (德克斯梅托米丁和布托芬醇酸) 或单独的LA.
- 在多个时间点使用视觉模拟量表 (VAS) 评估疼痛;患者的满意度和并发症也被记录下来.
主要成果:
- 与LA组相比,MAC组报告了从针头插入到术后评估的VAS得分明显较低.
- 患者满意度在MAC组显著更高.
- 两组之间并发症发生率没有显著差异.
结论:
- 监控麻醉护理,使用德克斯梅德托米丁和布托芬醇酸与局部麻醉的组合,是TELD的有效和安全的麻醉方法.
- 这种MAC方法提高了TELD程序期间的患者舒适度和满意度.
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