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勃起器脊柱肌肉阻塞在脊椎瘤骨折中的有效性

Lizeth Castillo Ramirez¹, María Del Rocío Guillen Nuñez^1,2, Àngel Manuel Jùarez Lemus³

¹Medicina del Dolor, Instituto Nacional de Cancerología, Ciudad de México, MEX.

|April 8, 2024

概括

勃起器脊柱平面 (ESP) 块有效地管理癌症脊椎骨折患者的疼痛,显著减少疼痛和阿片类药物使用. 这种微创手术在改善瘤患者护理和安全方面显示出有希望的结果.

科学领域:

疼痛管理疼痛管理
在瘤学瘤学.
区域麻醉地区麻醉

背景情况:

由于瘤活动导致的脊椎骨折在瘤患者的疼痛管理中构成重大挑战.
现有的疼痛管理策略可能在有效性和安全性方面存在局限性,需要采用替代方法.
勃起器脊柱平面 (ESP) 块是一种具有潜在止痛功效的面际平面块.

研究的目的:

评估勃起器脊柱平面 (ESP) 块在治疗瘤活动引起的脊椎骨折患者疼痛方面的有效性.
为了评估疼痛减轻,阿片类止痛药消费,以及ESP阻断后的患者满意度.
描述患者的人口统计,瘤诊断,骨折特征和程序细节.

主要方法:

在国家癌症研究所疼痛诊所进行了观察性,回顾性,纵向性和分析性研究.
包括因瘤活动而导致脊椎骨折的患者,从2020年3月到2023年9月收集的数据.
疼痛水平 (数字模拟尺度) 和阿片类药物消耗 (MME/天) 在ESP阻断前后被评估;使用描述性统计数据和威尔科克森签名等级测试 (p ≤0.05) 分析数据.

主要成果:

分析了16名患者 (50%男性) 的队列,这些患者有各种脊椎骨折水平 (L3和T6最常见).
在68.8%的ESP阻塞中使用了超声波指导,其中甲基prednisolone和ropivacaine是最常见的注射物 (75.0%).
观察到疼痛评分和每日口服阿片类药物相当剂量 (MME/day) 的统计学显著降低 (p ≤0.05),患者满意度为81.3%.

结论:

勃起器脊柱平面 (ESP) 块在癌症患者的脊椎骨折相关的疼痛管理方面表现出有希望的有效性.
该程序导致了显著的疼痛改善和减少阿片类药物依赖,没有报告的并发症.
ESP块提供了一个安全和临床相关的治疗选择,以提高脊椎骨折瘤患者的护理质量.

关键词:

勃起器的脊柱肌肉阻断了肌肉.瘤学在瘤学方面.口服阿片类药物吗啡每天相当于毫克.脊椎骨折是指脊椎骨折的发生.视觉模拟尺度是一个视觉模拟尺度.

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