拉巴光镜胃切除术中止痛方法的比较使用外部斜斜的肋间隔膜阻塞与伤口透:一个随机对照试验
Takanori Suzuka1, Nobuhiro Tanaka1, Yuma Kadoya2
1Department of Anesthesiology, Nara Medical University, Kashihara 634-8522, Japan.
Journal of clinical medicine
|July 27, 2024
概括
腹腔镜胃切除术后,外侧斜骨间隔块 (EOIB) 和伤口透 (WI) 显示出类似的疼痛缓解. 这项研究发现,这两种区域麻醉技术之间的术后疼痛得分没有显著差异.
科学领域:
- 麻醉学 麻醉学
- 区域麻醉地区麻醉
- 手术疼痛管理手术疼痛管理
背景情况:
- 外侧斜肋间阻塞 (EOIB) 已被认为可以在特定的皮肤瘤中缓解疼痛.
- 在EOIB和传统区域麻醉技术之间存在有限的比较数据.
- 这项研究涉及EOIB与伤口透 (WI) 对腹腔镜胃切除术疼痛的疗效.
研究的目的:
- 为了比较EOIB对腹腔镜胃切除术患者对WI的镇痛效果.
- 为了评估两种技术之间的术后疼痛,康复质量和阿片类药物消耗.
主要方法:
- 一项随机对照试验,涉及32名计划进行腹腔镜胃切除术的患者 (ASA I-II).
- 随机分配患者接受EOIB或WI,使用40毫升0.25%的Levobupivacaine.
- 主要结局:数值评分表 (NRS) 疼痛评分在术后12小时.
主要成果:
- 在EOIB和WI组 (休息和运动期间) 之间,在术后12小时内没有观察到NRS疼痛得分的显著差异.
- 二次结果,包括其他时间点的疼痛,恢复质量和芬太尼消费,也没有显著差异.
- 在EOIB后的Levobupivacaine血度达到45分钟的峰值.
结论:
- 在腹腔镜胃切除术后12小时,EOIB和WI提供了可比的术后止痛.
- 该研究没有发现EOIB与WI在评估的疼痛和恢复参数方面具有显著的优势.
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