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使用手术前的直肠膜块来减少小儿带 Hernia 修复期间的阿片类药物管理.

Derek J Krinock1, Benjamin Moore1, Stephen M Bowman2

  • 1Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

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此摘要是机器生成的。

手术前的双边直肠围膜阻塞 (BRSB) 在接受椎修复 (UHR) 的儿科患者中显著减少了阿片类药物的使用. 区域麻醉阻塞也为大多数患者提供了足够的疼痛控制,减少了对术后止痛药的需求.

关键词:
止痛药 止痛药是一种止痛药.麻醉 麻醉是一种麻醉.这是一种阿片类药物.疼痛 疼痛 疼痛 疼痛一个带.

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科学领域:

  • 儿科麻醉学 儿科麻醉学
  • 区域麻醉地区麻醉
  • 疼痛管理 疼痛管理

背景情况:

  • 区域麻醉阻断对于减少儿科阿片类药物使用和增强外科手术期间疼痛管理至关重要.
  • 带修复 (UHR) 是一个常见的儿科手术程序,有效的疼痛控制是必不可少的.

研究的目的:

  • 在接受UHR的儿科患者中比较阿片类药物的使用,包括和没有手术前的双边直肠罩封锁 (BRSB).
  • 评估BRSB在为该患者群体提供足够的术后疼痛控制方面的疗效.

主要方法:

  • 一个单一中心的回顾性队列研究比较了两组接受UHR的儿科患者 (<18岁).
  • 一组没有定期接受BRSB (1/2019-7/2020),而另一个 (1/2022-7/2023).
  • 收集和分析了人口统计,药物和BRSB结果的数据,使用描述性统计和双变量分析.

主要成果:

  • 接受BRSB治疗的患者在手术期间 (0.04 与 0.13 MME/kg相比,p < 0.001) 和术后 (0.02 与 0.04 MME/kg相比,p = 0.005) 的阿片类药物用量显著降低.
  • 在接受BRSB治疗的患者中,97%报告称足够控制疼痛,阻断剂的效果持续时间中位数为9小时.
  • 两组之间没有发现患者人口统计学方面的显著差异.

结论:

  • 在儿科UHR中进行手术前的BRSB可以减少手术内和术后的阿片类药物需求.
  • BRSB是一种有效的区域麻醉技术,用于在接受UHR的儿科患者中实现令人满意的疼痛控制.
  • 区域麻醉阻塞在儿科手术中提供了一种可行的阿片类药物节省疼痛管理策略.