超声导向勃起器脊柱平面阻塞对腹腔镜横腹前修复后疼痛的影响:一项前性,双盲,随机对照研究
Alternative therapies in health and medicine
|January 30, 2024
概括
超声导向勃起器脊柱平面块 (ESPB) 与罗皮瓦卡因显著减少腹腔镜修复后的疼痛. 这种技术提高了患者的舒适度,并减少了需要额外的止痛药的需求.
科学领域:
- 麻醉学 麻醉学
- 手术疼痛管理手术疼痛管理
背景情况:
- 有效的术后疼痛管理对于 laparoscopic transabdominal preperitoneal (TAPP) 修复后的患者康复至关重要.
- 超声导向勃起器脊柱平面块 (ESPB) 是区域麻醉的一种新兴技术.
研究的目的:
- 评估超声波引导ESPB与罗皮瓦卡因在TAPP修复后的术后疼痛管理中的有效性.
- 为了比较疼痛评分,止痛药消耗和接受ESPB与罗皮瓦卡因治疗的患者和接受安慰剂治疗的患者之间的不良事件.
主要方法:
- 这是一项前性,双盲,随机对照试验,涉及40名接受单边 inguinal hernia 修复的男性患者.
- 随机分配患者接受ESPB与0.5%的罗皮瓦卡因 (E组) 或正常盐水 (C组).
- 在多个术后时间点使用视觉模拟量表 (VAS) 评估疼痛,以及包括止痛药使用和不良事件在内的二次结果.
主要成果:
- 与C组相比,E组在2小时,6小时和12小时的术后表现出明显较低的VAS疼痛得分 (P < .05).
- 组E的患者需要更少的手术内雷米芬坦尼尔,额外的苏芬坦尼尔和术后纳布芬,并且使用患者控制的静脉静脉止痛药 (PCIA) 的时间更长 (P < .05).
- 在E组中没有观察到术后不良事件的显著增加.
结论:
- 带有罗皮瓦卡因的超声波引导ESPB有效地减少手术后的疼痛和TAPP修复后的麻醉药物需求.
- 这种技术提高了患者的舒适性和生活质量,为术后疼痛管理协议提供了潜在的进步.
- 需要进一步的研究来优化ESPB在临床实践中的整合.
相关概念视频
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