探索在局部麻醉下进行阴道切除术的理由:单中心体验
Gregor Prša1, Tamara Serdinšek2, Igor But2
1Department of Gynaecology and Obstetrics, General Hospital Murska Sobota, Ulica dr. Vrbnjaka 6, 9000 Murska Sobota, Slovenia.
概括
局部麻醉 (LA) 与镇静是一种安全有效的替代方案,用于阴道切除术 (VH) 的全身麻醉 (GA). 这种方法导致疼痛得分降低,手术时间缩短,住院时间减少,特别有利于老年患者.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 外科手术的结果
背景情况:
- 阴道切除术 (VH) 通常在全身麻醉 (GA) 或区域麻醉下进行.
- 带有静脉静止的局部麻醉 (LA) 是VH的新兴替代方案.
- 这项研究比较了LA和GA下VH的结果.
研究的目的:
- 为了比较在局部麻醉下 (LA) 进行的阴道切除术 (VH) 与静脉镇静相比于全身麻醉 (GA) 的手术前期和早期术后结果.
主要方法:
- 在2021年6月至2022年12月接受VH治疗的70名患者的回顾性研究.
- 收集的数据包括麻醉类型 (LA或GA),手术持续时间,血液损失,住院,疼痛评分和并发症.
- 使用SPSS进行统计分析,在p < 0.05.05时确定显著性.
主要成果:
- 在LA组中,平均年龄较高 (73.8岁与67.1岁相比,p=0.003).
- 术后的第1天和第2天,LA与明显较低的疼痛评分相关 (p=0.003).
- 在LA组中,手术持续时间 (p<0.001) 和住院持续时间 (p<0.001) 较短,用止痛药的使用较少.
结论:
- 带有静脉镇静的局部麻醉 (LA) 是阴道切除术 (VH) 的可行且安全的选择.
- 这种方法提供了诸如减少疼痛和缩短恢复时间等好处.
- 在老年患者患有并发症时,LA可能特别有利,在这种情况下,全身麻醉带来更高的风险.
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