麻醉对被动脚背部屈曲的影响
William Tucker1, Hanna M Saltzman2, Claire Kapron3
1University of Kansas, Department of Orthopaedics, Kansas City, KS, USA.
Foot & ankle international
|May 28, 2024
概括
全身麻醉会导致被动脚背部屈曲的小幅增加,这对于评估马合并并并非具有临床意义. 这一发现支持当前的外科手术实践,用于胃半底阿基勒斯复杂释放决策.
科学领域:
- 整形外科 整形外科 整形外科
- 麻醉学 麻醉学
- 生物力学 生物力学
背景情况:
- 马收缩通常涉及胃肌或胃肌 - 肌阿基里斯肌综合体.
- 在麻醉下进行的手术内评估指导了这些收缩的手术释放决定.
- 全身麻醉对被动脚背曲测量的影响尚不清楚.
研究的目的:
- 为了调查全身麻醉是否会影响被动脚背曲的测量.
- 为了确定麻醉引起的背部屈曲变化的临床意义.
- 评估马匹合约术的手术内评估的可靠性.
主要方法:
- 西尔弗斯基奥德测试是在46名脚患者的非手术肢体上进行的.
- 被动脚背部屈曲被测量为手术前和手术内,在全身麻醉后.
- 仪表式的力角位移计被用于精确的测量.
- 对经验丰富的外科医生进行了调查,以了解他们认为的最小可检测的临床准确性.
主要成果:
- 在全身麻醉后观察到被动脚背的平均增加 (1.9-2.8度在不同的压力和膝盖位置).
- 这些变化具有统计学意义 (P < .001).
- 外科医生认为他们最小可检测的临床准确度为5度或更高.
结论:
- 通用麻醉会诱导一个小的,可能是亚临床的,被动脚背部屈曲的增加.
- 目前在全身麻醉下 (不使用麻剂) 进行胃半合并的手术内决策的临床实践是合理的.
- 麻醉引起的变化的程度似乎不会显著改变手术治疗决策.
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