对于接受耳鼻外科手术的儿童的表面椎阻塞的回顾性分析
Gregory C Miller1, Nneoma S Wamkpah2, Ashley B Weinhold1
1Division of Pediatric Anesthesiology, Department of Anesthesiology Washington University in St. Louis St. Louis Missouri USA.
Paediatric & neonatal pain
|February 17, 2025
概括
表面交积块 (SCPB) 在儿科耳部外科手术患者中没有减少术后恶心和吐. 这项研究发现,接受阻断剂和不接受阻断剂的患者之间的PONV结果没有显著差异.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 疼痛管理 疼痛管理
背景情况:
- 在成人部手术中建立了表面宫结阻塞 (SCPB).
- 在儿童群体中SCPB的疗效,特别是对于耳科手术,需要进一步研究.
研究的目的:
- 为了评估表面结阻塞在减少手术后恶心和吐 (PONV) 在接受耳部手术的儿童的有效性.
- 为了比较接受SCPB和未接受SCPB的儿科患者之间的PONV率,阿片类药物消费和其他康复指标.
主要方法:
- 对237名儿科患者 (年龄在1-18岁) 的回顾性队列研究,这些患者通过腹腔后切口进行了特定的耳部手术.
- 主要结局:PONV发病率 (通过抗使用或记录事件来衡量).
- 二次结局:阿片类药物的使用,停留时间,口服时间,疼痛评分和不良事件.
主要成果:
- 在SCPB组 (n=121) 和无阻断组 (n=116) 之间没有观察到PONV结果的统计学上显著差异.
- 接受SCPB治疗的患者在手术期间服用阿片类药物的水平显著降低.
- 没有任何不良事件被归因于表面椎结交块.
结论:
- 表面宫结阻断并没有通过后门治疗方法在接受耳科手术的儿科患者中减少PONV.
- 虽然SCPB没有改善PONV,但它与减少手术内阿片类药物使用有关,并显示出有利的安全性.
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