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在接受Nuss手术的患者中,树干平面块的止痛效果:随机对照试验

Tao Chen¹, Yu Xu¹, Yu Chen²

¹Department of Anesthesiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, 17 Yong Wai Zheng Street, Nanchang, 330006, Jiangxi, China.

Pain and therapy

|June 18, 2024

概括

超声导向的前平面 (SAPB) 和横侧胸肌平面 (TTMP) 块有效地减少了Nuss手术患者的术后疼痛. 这种结合的神经阻断方法改善了恢复和减少了阿片类药物使用.

科学领域:

麻醉学麻醉学
疼痛管理疼痛管理
胸部外科手术胸部外科手术

背景情况:

纳斯手术,一个外科手术的 pectus excavatum,与显著的术后疼痛有关.
有效的疼痛管理对于患者的康复和减少并发症至关重要.

研究的目的:

为了评估结合超声导向前平面阻塞 (SAPB) 和横侧胸肌平面阻塞 (TTMP) 治疗急性疼痛的疗效和安全性.
在接受Nuss手术的患者中,将与罗皮瓦卡因结合的神经阻塞的结果与盐水相比较.

主要方法:

患者被随机分为两个组:与罗皮瓦卡因 (NB组) 或盐水 (CON组) 结合的神经阻塞.
在休息和运动期间,在多个时间点使用数值评分表 (NRS) 评估术后疼痛.
二次结局包括止痛药的消耗,输出时间,PACU停留,胃肠功能和住院时间.

主要成果:

与CON组相比,NB组的NRS疼痛得分明显较低.
在NB组的患者需要较少的乙氨基和外科期间的阿片类药物 (sufentanil,remifentanil).
CON组经历了更长的PACU停留和输出时间,而NB组表现出更早的肠道运动和浮.

结论:

超声导向的SAPB和TTMP块为接受Nuss手术的患者提供有效的止痛药.
综合神经阻断技术增强了术后恢复,并减少了对阿片类止痛药的需求.

关键词:

手术后的疼痛术后的疼痛塞拉托斯前面平面块块的前面平面.有足够的乙醇.这就是Nuss程序.横向胸部肌肉平面阻塞阻塞

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