圣体勃起器脊柱平面阻塞和尾阻塞对管相关膀不适的有效性之间的比较:一项前性随机研究
Bilge Olgun Keleş1, Elvan Tekir Yılmaz1, Ali Altınbaş1
1Anesthesiology and Reanimation Department, Giresun University Faculty of Medicine, 28100 Giresun, Turkey.
Journal of clinical medicine
|June 27, 2024
概括
在前列腺手术后,神经勃起器脊柱平面阻塞 (SESPB) 和神经阻塞 (PNB) 有效地减少了导管相关的膀不适 (CRBD). 与PNB相比,SESPB提供了更快的申请时间,患者满意度和CRBD得分相似.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 导管相关的膀不适 (CRBD) 是经过过尿道切除前列腺 (TURP) 的患者的一个重要问题.
- 有效的疼痛管理策略对于改善 TURP 恢复期间的患者耐受性和满意度至关重要.
- 目前对CRBD的治疗可能存在局限性,需要探索替代的神经阻断技术.
研究的目的:
- 为了比较 sacral erector spinae plane block (SESPB) 和 pudendal nerve block (PNB) 在缓解CRBD方面的疗效.
- 在接受SESPB或PNB的患者中评估TURP后CRBD的发病率和严重程度得分.
- 在两个干预组中评估患者的满意度和止痛药的需求.
主要方法:
- 一项随机前性研究,涉及54名接受TURP的患者,分类为ASA I-III.
- 在手术结束时,患者被分配给接受超声波引导的SESPB (n=27) 或PNB (n=27).
- 收集的数据包括CRBD发病率和得分,数值评分表 (NRS) 疼痛得分,救援止痛药使用,阻断性能时间和24小时的患者满意度.
主要成果:
- 在TURP后的前24小时内,SESPB和PNB都在降低CRBD发病率和得分方面表现出相似的有效性.
- 在SESPB和PNB集团之间,在CRBD发病率,CRBD得分或NRS得分方面没有发现显著差异.
- 与PNB (20±2.5分钟) 相比,SESPB (9±1.7分钟) 的区块执行时间显著缩短,两组患者的充分满意度相似.
结论:
- 在TURP后的早期术后期,SESPB提供了与PNB相比的CRBD发病率和严重程度的降低.
- 对于在TURP患者中管理CRBD而言,SESPB是一个比PNB更节省时间的程序.
- 这两种技术都有效且耐受良好,提供足够的患者满意度,但SESPB在应用持续时间方面具有优势.
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