高胸部勃起器脊柱平面阻塞的同情效应
Ji H Hong1, Ji H Park1, Ki B Park1
1Department of Anesthesiology and Pain Medicine, Keimyung University Dong San Hospital Daegu, Republic of Korea.
Pain physician
|January 29, 2024
概括
高胸部勃起器脊柱平面阻塞 (ESPB) 有效地减少了上肢疼痛,并改善了阻塞四肢的输液. 这种超声波引导的技术显示出显著的同情效应,为疼痛管理提供了一种新的方法.
科学领域:
- 疼痛管理 疼痛管理
- 区域麻醉地区麻醉
- 超声波引导的程序 超声波引导的程序
背景情况:
- 勃起脊柱平面阻塞 (ESPB) 是一种对胸部疼痛的微创,超声指导的技术.
- 虽然ESPB被广泛使用,但其同情效应以前没有被研究过.
研究的目的:
- 评估高胸部ESPB的同情效应.
- 为了比较阻塞和不受阻塞的上肢的输液指数 (PI) 变化.
主要方法:
- 在第三级大学医院疼痛诊所进行的前性开放性研究.
- 47名上肢疼痛的患者接受了T2或T3ESPB与0.2%的罗皮瓦卡因.
- 使用数值评分表 (NRS),部残疾指数 (NDI) 和输液指数 (PI) 评估疼痛.
主要成果:
- 在阻塞后10,20和30分钟,阻塞侧PI显著增加 (P < 0.001).
- PI比率在10分钟 (2.74±1.65) 达到峰值,并保持在较高水平.
- 在各种条件下观察到NRS和NDI得分的显著降低.
结论:
- 高胸部ESPB在各种条件下有效缓解上肢疼痛.
- 该研究表明,ESPB具有显著的同情效应,其证据是受阻肢体PI增加.
- 需要进一步的研究来确定ESPB后PI增加的持续时间.
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