勃起器脊柱平面阻塞对心脏开放手术中术后输出时间和实验室参数的影响:一项回顾性研究
Feyza Çalişir1, Yavuz Orak1, Ömer Faruk Boran1
1Department of Anesthesiology and Reanimation, Faculty of Medicine, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkiye.
Turkish journal of medical sciences
|May 30, 2024
概括
双边勃起器脊柱平面 (ESP) 块在开放心脏手术中显著减少了输出时间和重症监护室停留时间. 此外,ESP阻断还导致手术后肌素I水平降低,这表明心脏损伤减少.
科学领域:
- 麻醉学 麻醉学
- 心脏外科手术 心脏外科手术
- 疼痛管理 疼痛管理
背景情况:
- 在开放心脏手术中切骨术会引起炎症和术后疼痛.
- 勃起器脊柱平面 (ESP) 块是一种区域麻醉技术.
研究的目的:
- 评估双边ESP阻塞对开放心脏手术后输出管时间和实验室参数的影响.
- 为了比较接受ESP阻塞和不接受ESP阻塞的患者之间的结果.
主要方法:
- 对85名心脏外科手术患者的回顾性分析.
- 两个组的比较:手术前双边ESP区块 (ESB) 与没有区块 (NB).
- 对输出管时间,ICU停留时间和术后实验室标记物的分析.
主要成果:
- 与NB组 (360分钟) 相比,ESB组的输出时间 (270分钟) 显著缩短.
- 较短的重症监护室 (ICU) 停留时间为ESB组 (3天) 与NB组 (4天).
- 在ESB组 (0.16微克/升) 的24小时后手术后的托罗邦素I水平较低,与NB组 (0.94微克/升) 相比.
结论:
- 手术前的双边ESP阻塞在心脏手术中是有益的.
- ESP块可以减少机械通风和住院时间.
- 阻断ESP可能会减轻术后心脏损伤,正如较低的托罗邦素水平所表明的那样.
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