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在下肢手术中,超声指导的古典与偏神器平行转移技术的有效性 - - 一个随机对照试验

Revathi Nair¹, Tanvir Samra¹, Vighnesh Ashok¹

¹Department of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Indian journal of anaesthesia

|August 23, 2024

概括

与古典方法相比,超声指导的神经平行移 (PSPS) 方法用于神经神经阻塞 (SNB) 提供更快的扫描和注射时间. 这种PSPS技术可以提高下肢手术的阻断性能.

科学领域:

区域麻醉地区麻醉
超声波引导的程序超声波引导的程序
神经障碍神经障碍

背景情况:

超声导向的十字神经阻塞 (SNB) 用于下肢骨科手术中的麻醉和止痛.
对比不同超声导向的十字神经阻塞方法对于优化外科麻醉至关重要.
经典方法和帕萨克拉平行转移 (PSPS) 技术是执行SNB的两种方法.

研究的目的:

为了比较超声导向的十字神经神经块 (SNB) 的块性能特征,使用帕萨克拉平行转移 (PSPS) 方法与经典方法相比.
为了评估两个SNB技术的扫描时间,注射时间和阻断开始.
通过PSPS评估SNB后的术后止痛结果,与经典方法相比.

主要方法:

一项随机研究涉及144名接受膝下骨科手术的成年患者.
患者通过古典 (C组) 或PSPS (P组) 方法接受了超声导向的十字神经阻塞 (SNB).
对于SNB,给予20毫升0.5%罗皮瓦卡因的固定剂量,并补充了超声波引导的股骨神经阻塞 (10毫升0.5%罗皮瓦卡因).

主要成果:

与传统方法 (C组) 相比,PSPS方法 (P组) 的扫描和注射时间显著缩短 (P<0.05).
坐骨神经的完整的感觉和运动阻塞在PSPS技术 (P = 0.029) 中显著更高.
用PSPS方法显著减少了阻断性能时间,感觉阻断的发生和运动阻断的发生 (P < 0.001),而术后止痛是可比的.

结论:

超声导向的神经平行移动 (PSPS) 技术用于神经神经阻塞 (SNB) 是比经典方法更有效的.
该PSPS技术减少了区块执行时间,针时间和扫描时间.
在下肢手术中,PSPS提供了一种潜在的优越方法,用于超声导向的十字神经阻塞.

关键词:

整形外科手术整形外科手术帕萨克拉斯平行转移方法的方法交叉骨 (sacral plexus) 是一个交叉骨.十字神经阻塞神经.坐骨神经的坐骨神经神经.

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