腰部勃起器脊柱平面块在部骨折手术中提供有效的术后止痛
Onur Balaban1, Ali Eman1, Onur Palabiyik1
1Department of Anesthesiology and Reanimation, Faculty of Medicine, Sakarya University, Sakarya, Turkiye.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|January 18, 2025
概括
超声导向的腰部起器脊柱平面 (LESP) 块为近接大腿骨骨折提供了有效的术后止痛. 这种方法提供了可比的疼痛缓解和阿片类药物消耗,以腰椎结质阻断 (LPB),使其成为一个可行的替代方案.
科学领域:
- 麻醉学 麻醉学
- 区域麻醉地区麻醉
- 疼痛管理 疼痛管理
背景情况:
- 靠近大腿骨骨折往往需要显著的术后疼痛管理.
- 传统的腰阻塞 (LPB) 带有风险.
- 超声导向区域麻醉技术具有潜在的优势.
研究的目的:
- 为了比较超声波引导的腰部起器脊柱平面 (LESP) 块与腰部结块 (LPB) 的止痛效果.
- 为了评估经手术后的阿片类药物消耗和疼痛评分,在接受近端股骨骨折手术的患者中.
主要方法:
- 随机对照试验涉及53名接受近端股骨骨折手术的患者.
- 患者接受了LESP阻塞或LPB阻塞.
- 主要结局:24小时服用阿片类药物;次要结局:手术后疼痛评分 (NRS).
主要成果:
- 在LESP和LPB组之间,在2,6,12和24小时的数值评分表 (NRS) 疼痛评分中没有显著差异.
- 在LESP (183.6 ± 171.7μg) 和LPB (131.1 ± 113.3μg) 组之间,24小时芬太尼消费没有显著差异.
- 人口统计数据是可比的,没有报告重大并发症.
结论:
- 单次注射的LESP块在关节骨折手术中提供了令人满意的术后止痛.
- 莱斯普阻断显示了与LPB相比的阿片类药物消费.
- 超声导向的LESP阻塞是近端股骨骨折手术中LPB的有效和安全替代品.
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