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截面和胸部平面封锁与局部麻醉透用于部分乳房切除术:一个前性随机试验

Patryk Eisler^1,2, Stephan Zimmermann¹, Ragnar Henningsson¹

¹Department of Anesthesia and Intensive Care, Central Hospital Karlstad, Karlstad, Sweden.

Pain research & management

|March 29, 2024

概括

胸间和胸部平面块 (IPP/PSP) 减少了乳腺手术患者的手术内阿片类药物使用. 术后疼痛评分在IPP/PSP和局部麻醉透组之间是相似的.

科学领域:

麻醉学麻醉学
疼痛管理疼痛管理
手术瘤学手术瘤学

背景情况:

乳腺手术患者面临显著的术后疼痛.
节约阿片类药物的策略对于管理这种疼痛至关重要.
区域麻醉技术已经在术后乳腺癌护理中建立.

研究的目的:

为了比较乳房外科手术后疼痛管理中乳房间和乳房平面阻塞 (IPP/PSP) 与局部麻醉透的疗效.
评估接受IPP/PSP或局部透的患者的阿片类药物消耗和术后疼痛水平.

主要方法:

一项随机研究,涉及57名接受部分乳腺切除与哨兵节点剖析的患者.
患者接受了手术前的超声导向IPP/PSP阻塞或外科医生进行局部麻醉透.
使用数值评分表 (NRS) 评估疼痛.

主要成果:

在IPP/PSP和透组之间,术后疼痛评分 (NRS) 没有显著差异 (1.67对1.97;p=0.578).
在IPP/PSP组中,手术内使用芬太尼的比例显著降低 (0.18毫克对比0.21毫克;p=0.041).
没有观察到PACU停留时间,术后恶心/吐或24小时内使用氧化的显著差异.

结论:

阻断IPP/PSP有效地减少了乳腺手术患者的手术内阿片类药物需求.
在IPP/PSP和局部透组之间,术后疼痛得分高达24小时是可比的.
这两种技术都导致低报告的术后疼痛.

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