变形外皮阻塞和勃起器脊柱平面阻塞来管理急性关联疼痛:一个回顾性病例对照研究
Hyojung Soh1, Yeona Ko1, Jungwon Shin1
1Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon 34943, Republic of Korea.
Medicina (Kaunas, Lithuania)
|March 28, 2024
概括
勃起器脊柱平面阻塞 (ESPB) 和变形内外注射 (TFEI) 在减少急性疹疼痛和预防后神经疼痛 (PHN) 中表现出类似的疗效. ESPB是一种可行的干预选择,用于管理带相关疼痛 (ZAP).
科学领域:
- 疼痛管理 疼痛管理
- 神经学 神经学
- 麻醉学 麻醉学
背景情况:
- 在急性疹中,适当的疼痛减轻对于预防术后神经疼痛 (PHN) 至关重要.
- 立体脊柱平面块 (ESPB) 是一种新的,超声波引导的技术,因其方便和安全而受欢迎.
- 与其他神经阻断剂相比,ESPB对带相关疼痛 (ZAP) 的比较疗效仍未得到充分研究.
研究的目的:
- 为了比较ESPB与其他神经阻塞在治疗急性ZAP中的疗效.
- 评估ESPB治疗患者的疼痛减缓和PHN预防与转膜外周注射 (TFEI) 的对比.
主要方法:
- 对53名急性胸部疹患者进行了回顾性病例对照研究.
- 患者被分为两个组:TFEI (n=32) 和ESPB (n=21).
- 通过数值评分表 (NRS) 和基线和随访点 (1周至3个月) 的药物剂量来评估有效性.
主要成果:
- 在ESPB和TFEI组之间没有显著的时间差异来达到NRS ≤2疼痛强度.
- 在所有时间点中,药物停用率和临床显著PHN (NRS ≥3) 的比例相似.
- 无论是ESPB还是TFEI,对于急性胸部疹疼痛的临床效果都是相似的.
结论:
- ESPB是一种临床有效的干预选择,用于管理ZAP.
- 在急性疹患者中,ESPB提供与TFEI相似的结果.
- 考虑到研究的局限性,可能需要进一步的研究.
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