勃起器脊柱平面块用于胸脊椎手术中的术后止痛:一个随机对照试验
Seerat Chiraya1, Jasveer Singh2, Sukanya Mitra2
1Department of Anaesthesiology, AIIMS Rishikesh, Uttarakhand, India.
Indian journal of anaesthesia
|January 12, 2024
概括
超声导向勃起器脊柱平面 (ESP) 阻断显著减少手术后的吗啡使用和疼痛在经历胸脊椎手术的患者. 这种技术提高了患者的满意度,并提供了有效的止痛,没有不良影响.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 区域麻醉地区麻醉
背景情况:
- 胸脊椎手术与严重的手术后疼痛有关.
- 有效的疼痛管理对于患者在这些手术后的康复和满意度至关重要.
研究的目的:
- 评估勃起器脊柱平面 (ESP) 阻断在减少术后吗啡消耗方面的有效性.
- 评估ESP阻断对疼痛评分和胸脊椎手术后患者满意度的影响.
主要方法:
- 一项随机对照试验,涉及70名接受胸脊椎手术的成年患者.
- 患者接受单独全身麻醉 (对照组) 或双边超声波引导ESP阻断 (干预组) 的全身麻醉.
- 手术后的吗啡消耗,视觉模拟尺度 (VAS) 疼痛评分和患者满意度在24小时后进行了比较.
主要成果:
- 与对照组相比,干预组的24小时吗啡消耗显著降低 (5.69比9.51毫克,P<0.001).
- 在ESP阻断组中,静止和运动期间的VAS疼痛得分显著降低 (P < 0.001).
- 干预组的患者满意度得分显著高 (3.8比3.2,P<0.001).干预组的患者满意度得分显著高 (3.8比3.2,P<0.001).
结论:
- 超声导向ESP阻断是一种有效的方法,可以在胸脊椎手术后减少手术后的吗啡消耗.
- 该ESP阻断显著改善术后止痛,并提高了患者的满意度.
- 这种区域麻醉技术提供了有利的安全性概况,并没有显著增加恶心和吐等不良反应.
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