超声导向的正方形腰部块与尾部块对外科手术期间
Shreya B Shah1, Deepanjali Pant2, Archna Koul2
1Assistant Professor of Anaesthesiology, All India Institute of Medical Sciences, New Delhi, India.
超声波指导的四角腰部块在儿科开放型皮叶造形术患者中,与尾部块相比,提供了优异的术后止痛. 这种干部阻塞显著增加了缓解疼痛的持续时间,并减少了止痛药的消耗.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 疼痛管理 疼痛管理
背景情况:
- 四角腰部块是治疗术后疼痛的有效骨干块.
- 儿科患者的开放型皮埃洛塑性手术需要有效的术后止痛.
- 对比区域麻醉技术对于优化儿科外科护理至关重要.
研究的目的:
- 为了比较尾巴阻塞与超声波引导的四角腰部阻塞的止痛效果.
- 为了评估术后疼痛得分,止痛药消耗和止痛的持续时间.
- 评估这些阻塞在接受开放性热塑性手术的儿科患者的安全性和有效性.
主要方法:
- 50名接受开放性肌肉整形手术的儿科患者 (≤16公斤,≤4岁) 被随机分为尾部块或肌肉横断的四角腰部块组.
- 监测了术后疼痛评分,止痛药的需求 (芬太尼,白醇) 和生命体征.
- 进行了统计分析,以比较两个组之间的结果.
主要成果:
- 与尾部组 (6.85 ± 1.99小时) 相比,四角腰部块组显示术后止痛的持续时间显著更长 (11.27 ± 3.74小时) (P < .001).
- 手术后的降醇消耗在四角腰部阻断组 (P = .005) 中明显较低.
- 在多个时间点中,四度腰椎阻断组的疼痛分数显著较低,在外科手术期间使用芬太尼或血液动力学参数没有显著差异. 没有报告任何并发症.
结论:
- 超声波导向的四角腰部阻断在接受开放式皮叶造形手术的儿科患者的术后止痛方面比尾部阻断更有效.
- 四角腰部块提供了更长时间的疼痛缓解和减少止痛药的需求.
- 这种技术在这种患者群体中提供了一种安全有效的替代方法来管理术后疼痛.
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