围囊神经群 (PENG) 阻断与上腹膜内膜 (SIFI) 阻断对于接受关节手术的患者的功能结果 - 一项随机对照研究
Tanusha Saini1, Meenakshi Aggarwal2, Udeyana Singh1
1Department of Anaesthesiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Indian journal of anaesthesia
|February 13, 2025
概括
周囊神经组 (PENG) 阻断在部手术后显示出优异的功能结果,相比于上内腹膜 (SIFI) 阻断. 块改善了四头肌的强度,承重能力,并提供了更好的疼痛缓解.
科学领域:
- 区域麻醉地区麻醉
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
背景情况:
- 周囊神经组 (PENG) 和上腹膜下 iliaca (SIFI) 阻塞对于部手术止痛是常见的.
- 对它们对功能恢复的影响进行比较对于优化患者的治疗结果至关重要.
研究的目的:
- 为了比较功能性结果,特别是四头肌肌肉强度和承重能力,PENG和SIFI块之间部手术后.
- 为了评估这两种块类型的止痛疗效.
主要方法:
- 一个单中心,双盲,随机试验,涉及60名部手术患者.
- 患者在超声指导下接受了PENG或SIFI阻塞,同时接受了罗皮瓦卡因和德克萨米.
- 功能性移动性,四头肌强度,承重能力,VAS分数和阿片类药物消耗都在术后进行了评估.
主要成果:
- 在手术后的24小时和48小时内,PENG块组显示出显著更高的四头肌强度.
- 更多的PENG组患者获得了优异的承重等级,并报告了较低的VAS分数.
- 阻断PENG也导致了疼痛缓解的持续时间更长,并减少了阿片类药物消费.
结论:
- 在部手术中,PENG块似乎优于SIFI块.
- 格块提供了更好的功能结果,包括更好的四头肌强度和承重能力.
- 与SIFI阻断相比,PENG阻断提供了更有效的术后止痛.
关键词:
止痛药 止痛药是一种止痛药.早期的行走运动.功能性结果的结果.部手术 部手术 部手术周周囊神经群阻塞块 周周囊神经群阻塞四头肌肌肉肌肉四头肌肌肉肌肉四头肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉肌肉区域麻醉地区麻醉上 inguinal 带膜 阴茎堵塞 阴茎堵塞有重量轴承的重量轴承.更多相关视频
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.5K
05:42Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture
Published on: March 3, 2023
2.4K
相关概念视频
Abdominal Regions and Quadrants
7.1K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
7.1K
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
352
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
352
