连续勃起器脊柱平面阻断用于经过胸腔镜切术后老年患者的术后止痛
Lingling Sun1, Jing Mu1, Lang Yu1
1Department of Anesthesiology, Huzhou Central Hospital, Huzhou, China.
概括
超声导向勃起器脊柱平面阻断 (ESPB) 和胸部副脊柱阻断 (TPVB) 有效地管理胸腔镜叶切除术后老年患者的术后疼痛. 与TPVB相比,ESPB提供了更短的管道放置时间,更少的并发症和更快的恢复.
科学领域:
- 麻醉学 麻醉学
- 胸部外科手术 胸部外科手术
- 疼痛管理 疼痛管理
背景情况:
- 术后疼痛管理对于接受胸腔镜叶切除术的患者至关重要.
- 老年患者在疼痛控制和恢复方面存在独特的挑战.
- 连续区域麻醉技术旨在改善疼痛缓解和减少阿片类药物的使用.
研究的目的:
- 为了比较超声导向连续勃起器脊柱平面阻塞 (ESPB) 与连续胸部椎阻塞 (TPVB) 在术后止痛的疗效.
- 为了评估疼痛评分,止痛药的需求,并在胸腔镜叶片切除术后的老年患者的恢复参数.
主要方法:
- 一项随机对照试验,涉及50名接受胸腔镜叶切除术的老年患者.
- 患者被随机分配到ESPB组 (n=25) 或TPVB组 (n=25).
- 超声指导被用于麻醉诱导之前的阻塞放置. 记录了术后结果,包括疼痛评分,特拉马多尔剂量和恢复指标.
主要成果:
- 在手术后48小时内,两组之间没有观察到视觉模拟尺度得分或补充特拉马多尔剂量的显著差异.
- 与TPVB组相比,ESPB组的输管安置时间和住院时间显著缩短.
- 虽然两组都出现了恶心和吐,但TPVB组报告的病例略多,肺胸炎和发烧. 没有发现切口感染或呼吸抑制.
结论:
- 无论是ESPB还是TPVB,在胸腔镜叶切除术后,都能为老年患者提供有效的术后疼痛缓解.
- 与TPVB相比,连续ESPB与减少并发症,缩短程序时间和加速恢复有关.
- 对于这种患者群体来说,ESPB是一种潜在的优势区域麻醉技术.
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