坐着姿势,双腿平行交叉进行剖腹产时诱导脊髓麻醉的比较:一项随机对照试验
Nitu Puthenveettil1, Sajan Rahman1, Arun Ramayyan Achary1
1Department of Anaesthesia and Critical Care, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Journal of anaesthesiology, clinical pharmacology
|April 26, 2024
概括
交叉腿坐姿 (CLSP) 与双腿平行 (LPSP) 的标准坐姿相比,提高了下大脑关节阻塞成功率. 在接受剖腹产的分娩者中,CLSP减少了尝试的数量,并增强了里程碑式的触摸.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 患者的位置对于成功放置下大脑关节块至关重要.
- 标准的双腿平行坐姿 (LPSP) 可以改变脊椎解剖学.
- 交叉腿坐姿 (CLSP) 提供了一种替代子关节阻塞的选择.
研究的目的:
- 为了比较在CLSP和LPSP中执行子arachnoid阻塞的有效性和容易性.
- 为了评估尝试数量的差异,患者舒适度,里程碑式的触摸,阻断水平,低血压和新生儿结局.
主要方法:
- 一个随机试验,涉及80名预定进行选择性剖腹产的分娩者.
- 参与者被随机分配到LPSP组或CLSP组.
- 在指定的位置进行了下关节阻塞.
主要成果:
- 与LPSP组相比 (55%) (P=0.003),CLSP组的第一次尝试成功率 (87.5%) 显著高于LPSP组 (55%) (P=0.003).
- 里程碑式的触摸在CLSP组 (92.5%) 比LPSP组 (67.5%) (P=0.014) 更容易.
- 在CLSP组中,成功放置块所需的尝试较少.
结论:
- 交叉腿坐姿 (CLSP) 优于双腿平行坐姿 (LPSP) 在脑下块.
- 通过CLSP,可以更容易地识别地标,并减少注射针的尝试数量.
- 这种定位技术可以提高在产科麻醉中子arachnoid 阻塞的整体成功和效率.
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