没有阿片类药物的甲状腺关节块基多式麻醉与常规阿片类药物基多式麻醉用于桃体切除手术:一项随机对照试验
Ramy Mahrose1, Mohammed Sayed Shorbagy1, Amr A Kasem1
1Assistant Professor of Anesthesiology, Intensive Care & Pain Management, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Anesthesiology and pain medicine
|October 17, 2024
概括
在接受桃体切除术的儿童中,使用 pterygopalatine 结节块的无阿片类麻醉技术显著减少了术后的恶心,吐和缺氧. 这种方法提供了一个比传统的阿片类药物疼痛管理更安全的替代方案,导致更短的恢复时间.
科学领域:
- 麻醉学 麻醉学
- 儿科耳鼻喉科 儿科耳鼻喉科
背景情况:
- 腺切除术是一种常见的儿科手术,用于睡眠呼吸障碍.
- 在儿童中治疗桃体切除术后的疼痛存在挑战,因为与阿片类药物使用相关的风险,特别是在那些有现有呼吸道问题的儿童中.
研究的目的:
- 为了比较基于阿片类药物的有效性和安全性与无阿片类药物的多式麻醉用于儿科桃体切除术.
- 为了评估接受不同麻醉技术的儿童的术后疼痛,并发症和恢复.
主要方法:
- 一项前性,随机,双盲研究,涉及90名儿科患者 (5-13岁) 接受选择性桃体切除术.
- 组A接受了芬太尼 (阿片类药物),德克萨米他和. 组B接受了德克萨米他,,以及一种无阿片类药物的基巴拉丁腺块.
- 术后疼痛使用Wong-Baker尺度在1,3小时和24小时评估.
主要成果:
- 两组之间没有观察到疼痛评分,手术内生命体或额外止痛的显著差异.
- 没有阿片类药物的甲状腺质阻断组 (B组) 在恶心,吐和缺氧方面显示出统计学上显著的减少.
- 乙组也经历了更短的麻醉后护理单位 (PACU) 停留.
结论:
- 基于阿片类药物的多式麻醉和无阿片类药物的多式麻醉都对桃体切除术疼痛管理有效.
- 无阿片类药物麻醉使用甲状腺节块导致手术后并发症较少,如恶心,吐和缺氧.
- 这种无阿片类药物的方法可以改善患者的康复,并减少PACU时间.
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