勃起器脊柱平面阻塞在接受重大妇科手术的患者的止痛效果:一项随机对照研究
Yu Jeong Bang1, Eun Kyung Lee2, Heejoon Jeong1
1Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Journal of clinical anesthesia
|December 27, 2023
概括
勃起器脊柱平面阻塞 (ESPB) 在24小时内没有减少主要妇科手术患者的阿片类药物消费. 然而,ESPB显著改善了患者对手术后疼痛管理的满意度.
科学领域:
- 麻醉学 麻醉学
- 手术疼痛管理手术疼痛管理
- 区域麻醉地区麻醉
背景情况:
- 大型妇科手术往往涉及显著的术后疼痛.
- 有效的疼痛管理对于患者的康复和满意度至关重要.
- 勃起器脊柱平面块 (ESPB) 是一种区域麻醉技术,具有潜在的止痛效益.
研究的目的:
- 评估ESPB在重大妇科手术中的止痛效果.
- 为了比较ESPB和对照组在手术后24小时累积的阿片类药物消费.
- 评估二次结果,包括疼痛严重程度和患者满意度.
主要方法:
- 一个单中心的随机对照研究,涉及88名接受重大妇科手术的女性患者.
- 患者被随机分配,接受标准止痛药 (控制) 或ESPB与罗皮瓦卡因和上腺素.
- 疼痛强度,阿片类药物消耗和恢复变量被监测了72小时.
主要成果:
- 平均24小时阿片类药物消费量在ESPB组为35.8毫克,对照组为41.4毫克 (P=0.128),没有显著差异.
- 在手术后24小时,ESPB组的患者对止痛的满意度显著更高 (P=0.038).
- 在术后恢复变量中没有观察到显著差异.
结论:
- 在这个患者队列中,ESPB并没有显著减少24小时的阿片类药物消费.
- 在ESPB的研究中,它被证明能够减轻早期的术后疼痛强度.
- 在重大妇科手术后,ESPB改善了患者对疼痛管理的满意度.
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