视频辅助胸腔镜手术中的连续勃起脊柱平面阻塞与胸部外周止痛:一个潜在的随机开放的非劣势性试验
Renee J C van den Broek1, Jonne M C Postema2, Joseph S H A Koopman2
1Department of Anesthesiology and Pain medicine, Catharina Hospital, Eindhoven, The Netherlands renee.vd.broek@catharinaziekenhuis.nl.
Regional anesthesia and pain medicine
|January 11, 2024
概括
连续勃起器脊柱平面 (ESP) 阻塞是胸部外周止痛 (TEA) 的可行替代方案,用于接受胸腔镜手术的患者. 这项研究发现ESP阻断在术后恢复质量方面与TEA无差.
科学领域:
- 麻醉学 麻醉学
- 胸部外科手术 胸部外科手术
- 疼痛管理 疼痛管理
背景情况:
- 胸腔镜手术中不断发展的手术技术需要更新的麻醉学方法.
- 连续勃起器脊柱平面 (ESP) 阻断是一种用于胸部止痛的新技术.
- 持续胸部外围止痛疗法 (TEA) 是胸部手术后管理疼痛的传统方法.
研究的目的:
- 为了比较连续ESP阻断与连续TEA在经过视频辅助胸腔镜手术的患者中术后恢复的非劣势.
- 用 QoR-15 评分来评估恢复的质量.
- 评估二次结果,包括疼痛,住院和阿片类药物消费.
主要方法:
- 进行了一项多中心,前性,随机化,开放标签的非劣势性试验.
- 90名患者被随机分配,接受持续ESP阻断或TEA.
- 主要结局是恢复质量-15 (QoR-15) 评分,测量在术前和术后的0,1和2天.
主要成果:
- 在ESP区块和TEA组之间的平均QOR-15分数差异为1 (第0天),-1 (第1天) 和-2 (第2天).
- 这些差异在统计学上并不显著,表明非劣势.
- 其次性结局,如疼痛评分,住院和吗啡消耗,同样是可比的.
结论:
- 持续ESP阻断对于接受视频辅助胸腔镜手术的患者来说,与持续TEA不逊色.
- 在ESP块提供了可比的术后康复质量.
- 这表明ESP阻断是胸部手术和疼痛缓解的安全有效替代品.
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