勃起器脊柱阻塞可降低腹腔镜袖胃切除术患者的手术内和手术后阿片类药物消耗:一项随机对照试验
Anwar Ul Huda1, Amer Saeed Alshahrani2, Mohammad Yasir1
1Department of Anesthesia, Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia *Email: hudaanwar90@yahoo.com.
Qatar medical journal
|February 13, 2025
概括
勃起器脊柱平面阻塞 (ESPB) 在袖子胃切除术患者中显著降低了手术前和24小时术后的阿片类药物消耗. 这种新的区域区块为肥胖患者的疼痛管理提供了更安全的替代方案.
科学领域:
- 麻醉学 麻醉学
- 区域麻醉地区麻醉
- 腹部外科 腹部外科
背景情况:
- 肥胖患者在手术后因服用镇静剂和阿片类药物而面临更高的呼吸道并发症风险.
- 勃起器脊柱平面块 (ESPB) 是一种较新的区域麻醉技术,具有良好的安全性.
- 在各种外科手术过程中,ESPB已经证明了它的实用性.
研究的目的:
- 评估起器脊柱平面块 (ESPB) 在减少术后疼痛方面的有效性.
- 评估ESPB对接受袖子胃切除术的患者阿片类药物消费的影响.
- 为了比较ESPB患者和未接受ESPB患者之间的疼痛评分和阿片类药物需求.
主要方法:
- 进行了一项随机对照试验,其中60名患者接受了腹腔镜袖胃切除术.
- 患者被随机分为两个组:一个接受ESPB与罗皮瓦卡因,一个控制组.
- 测量的主要结局是手术后的前24小时内疼痛得分.
主要成果:
- 虽然ESPB组的术后疼痛得分较低,但这种差异在统计学上并不显著.
- 在ESPB组中,手术期间的remifentanil消耗显著降低 (P < 0.01).
- 在ESPB组中,24小时内阿片类药物的总消费量明显较低 (P = 0.002),不增加不良事件.
结论:
- 勃起器脊柱平面阻塞 (ESPB) 有效地减少了腹腔镜袖子胃切除术中的手术内和24小时术后阿片类药物需求.
- 在这种患者群体中,ESPB是管理疼痛和阿片类药物使用的宝贵工具.
- 这项研究支持ESPB用于在袖子胃切除术后改善康复.
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