双边超声导向勃起器脊柱平面阻塞用于重大创伤性脊柱手术中术后疼痛缓解:一个随机对照试验
Baby Pegu1, Babita Gupta2, Arshad Ayub1
1Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Saudi journal of anaesthesia
|August 16, 2024
概括
勃起器脊柱平面块 (ESPB) 在经历创伤性脊柱手术的患者中显著降低了术后疼痛和阿片类药物使用. 与传统方法相比,这种超声波引导的技术提供了更好的止痛.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 区域麻醉地区麻醉
背景情况:
- 对于创伤性脊椎骨折的脊柱固定手术会引起严重的疼痛,传统上用阿片类药物进行治疗.
- 阿片类药物的使用受到副作用的限制,如过敏症,恶心和依赖.
- 勃起器脊柱平面块 (ESPB) 是一种新的超声波导向区域麻醉技术.
研究的目的:
- 用ESPB在接受重大创伤性脊柱手术的患者中评估使用多模式止痛方法的疗效.
- 为了比较ESPB与传统方法之间的术后止痛和术后阿片类药物需求.
主要方法:
- 一项随机对照试验,涉及34名患者,这些患者接受了创伤性骨折后背脊固定.
- 患者接受ESPB全身麻醉 (A组) 或全身麻醉与全身止痛药和局部透 (B组).
- 测量结果包括手术期间的芬太尼消耗,VAS分数,PCA激活时间和术后的吗啡消耗.
主要成果:
- 与B组 (37.82 ± 9.88;P < 0.0001) 相比,A组 (ESPB) 的手术后PCA吗啡消耗显著降低 (17.06 ± 9.59),而B组 (37.82 ± 9.88;P < 0.0001) 的消耗显著降低.
- 在所有测量时间点 (P ≤ 0.05) 中,ESPB组的静止和移动过程中的VAS得分显着较低.
结论:
- 双边超声导向ESPB在创伤性脊柱手术中提供了卓越的止痛作用.
- ESPB显著降低了VAS得分,并减少了对术后阿片类药物的需求.
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