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后周囊块 (PHPB) 与周囊神经组 (PENG) 块用于部骨折:一个案例系列

Lei Duan¹, Jianzhong Li², Zhe Chen³

¹Department of Anesthesiology, Xi'an Aerospace General Hospital, Xi'an City, China.

BMC anesthesiology

|October 1, 2024

概括

一种新型的后周囊块 (PHPB) 与PENG块结合,有效地管理关节骨折的关节整形术 (THA) 后的疼痛. 这种技术可以在手术后保持部运动功能和四头肌强度.

科学领域:

麻醉学麻醉学
整形外科手术整形外科手术
疼痛管理疼痛管理

背景情况:

在关节骨折 (FNF) 的全关节整形术 (THA) 后,严重的疼痛可能会导致并发症.
关节阻塞是关节骨折手术止痛的一个选择,但不覆盖后囊.
后周囊块 (PHPB) 是为了解决这一缺口,通过准后囊的神经来开发的.

研究的目的:

为了评估联合PENG阻断剂和PHPB的止痛效果.
评估这种联合阻断对THA后部运动功能和四头肌强度的影响.
报告PENG块和PHPB组合的安全性和并发症概况.

主要方法:

一个涉及五名关节骨折患者的病例系列,他们接受了THA.
进行了超声导向的后周囊块 (PHPB) 与PENG块相结合.
术后疼痛评分 (NRS),部运动功能 (屈曲,引,引,膝盖屈曲) 和四头骨强度在48小时内被评估.
监测了诸如伤口感染,血瘤和神经损伤等并发症.

主要成果:

在手术后48小时内实现了有效的疼痛控制,休息和运动疼痛得分显著降低.
患者在48小时内表现出自主部和膝盖曲,绑架和引.
没有观察到显著的运动障碍或四头肌肌肉衰弱.
没有报告严重的术后并发症.

结论:

超声波引导的PENG阻断和PHPB的组合为关节骨折患者提供了有效的术后止痛.
这种联合阻塞策略成功地保持了关节运动功能和四头肌肌肉力量.
在THA后,PHPB是PENG块的宝贵补充,用于全面的部疼痛管理.

关键词:

部骨折部骨折部骨折周囊神经集团阻断周囊神经集团阻断后部关节周囊细胞堵塞区域麻醉地区麻醉整体关节整形术关节整形术

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