勃起器脊柱平面阻塞对接受代谢性腹手术的患者的术后止痛的有效性:一项随机对照试验
Pongkwan Jinaworn1, Patt Pannangpetch1, Kamonchanok Bunanantanasan1
1Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Obesity surgery
|September 25, 2024
概括
勃起器脊柱平面阻塞 (ESPB) 没有减少吗啡使用,也没有改善腹腔镜代谢性减肥手术 (MBS) 患者的康复质量. 需要进一步的研究来理解为什么ESPB在这种手术环境中无效.
科学领域:
- 麻醉学 麻醉学
- 腹部外科 腹部外科
- 疼痛管理 疼痛管理
背景情况:
- 代谢性减肥手术 (MBS) 旨在通过多模式止痛来最大限度地减少阿片类药物副作用,以实现更快的恢复.
- 勃起器脊柱平面阻塞 (ESPB) 是作为一种减少在术后疼痛管理中的阿片类药物消费的方法.
- 这项研究调查了ESPB在腹腔镜MBS后减少阿片类药物使用的疗效.
研究的目的:
- 为了比较24小时的吗啡消耗在患有腹腔镜MBS和没有手术前ESPB的患者.
- 评估ESPB对患者满意度,疼痛评分和MBS后恢复质量 (QoR) 的影响.
主要方法:
- 一项随机对照试验,涉及63名患有严重肥胖症的患者,接受了腹腔镜MBS (袖子胃切除术或Roux-en-Y胃旁路术).
- 患者被分配给接受预麻醉ESPB (干预组) 或没有阻断 (对照组).
- 主要结局是24小时的吗啡消耗;次要结局包括患者满意度,疼痛评分和泰国QOR-35评分.
主要成果:
- 在ESPB和对照组之间没有观察到24小时吗啡消耗的统计学上显著差异.
- 患者满意度,术后疼痛评分和康复质量 (泰国QOR-35) 没有显著的群体间差异.
结论:
- 手术前的ESPB并没有有效地减少吗啡的消耗,也没有提高腹腔镜MBS后的康复质量.
- 需要进一步的研究来证实这些发现,并阐明ESPB在这种患者群体和手术环境中无效的原因.
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