在术后疼痛中比较 ilioinguial / iliohyphogastic神经阻塞与伤口透:一个随机对照试验
Robyna Irshad Khan1, Malika Hameed1, Summaiya Ahsan Ali1
1Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan.
JPMA. The Journal of the Pakistan Medical Association
|November 16, 2024
概括
无论是 ilioinguinal / iliohypogastric 神经阻塞还是用 ropivacaine 透伤口,都有效地管理开放 inguinal 修复后的术后疼痛,显示出类似的患者满意度和阿片类药物使用.
科学领域:
- 麻醉学 麻醉学
- 手术疼痛管理手术疼痛管理
- 区域麻醉地区麻醉
背景情况:
- 开放 inguinal 的修复是一个常见的手术程序.
- 有效的术后疼痛管理对于患者的康复和满意度至关重要.
- 用各种区域麻醉技术来减少阿片类药物依赖并改善结果.
研究的目的:
- 为了比较 ilioinguinal / iliohypogastric 神经阻塞与伤口透与罗皮瓦卡因治疗术后疼痛控制的疗效.
- 评估休息和运动期间的疼痛评分,阿片类药物消耗和患者满意度.
- 评估与每个麻醉技术相关的并发症.
主要方法:
- 一项随机临床试验,涉及60名接受选择性单边开放 inguinal 修复的患者.
- 患者被随机分配,接受超声导向的 ilioinguinal / iliohypogastric 神经阻塞 (A组) 或用ropivacaine (B组) 进行伤口透.
- 在多个时间点使用视觉模拟量表来评估术后疼痛,以及阿片类药物使用和患者满意度.
主要成果:
- 两组之间静止时平均疼痛得分没有显著差异.
- 运动时平均疼痛得分的显著差异仅在术后6小时标记 (p=0.02) 观察到.
- 在神经阻塞和伤口透组之间,术后的阿片类药物总消耗和患者满意度是可比的.
结论:
- 阴/阴下胃神经阻塞和用罗皮瓦卡因透的伤口都同样有效地控制了开放 Hernia 修复后的术后疼痛.
- 这些区域麻醉技术提供了可比的疼痛缓解和患者满意度.
- 神经阻塞和伤口透之间的选择可能取决于特定的临床情景和外科医生的偏好.
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