双边副侧和直肠罩块可以减少心脏手术后的疼痛:试点试验
Yangsi Huang1, Chengdi Ouyang1, Fang He1
1Department of Anesthesiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Frontiers in surgery
|March 7, 2025
概括
超声导向的双侧侧阻 (PSB) 和直肠阻 (RSB) 显著改善了心脏手术后的疼痛管理. 这种综合方法减少了阿片类药物的使用,提高了患者的康复质量,提供了一种安全有效的新策略.
科学领域:
- 麻醉学 麻醉学
- 区域麻醉地区麻醉
- 心脏外科手术 心脏外科手术
背景情况:
- 术后疼痛管理对于通过中枢静脉切除术进行心脏手术的患者至关重要.
- 目前的止痛策略可能存在有效性和副作用的限制.
研究的目的:
- 为了评估超声导向双侧侧阻 (PSB) 与直肠阻 (RSB) 结合在心脏手术患者的术后恢复的有效性.
- 为了比较服用阿片类药物,疼痛评分和接受联合阻塞和不接受联合阻塞的患者之间的恢复质量.
主要方法:
- 经过中枢切除术的80名患者被随机分配到干预组 (PSB + RSB) 和对照组.
- 吸食阿片类药物,视觉模拟尺度 (VAS) 疼痛评分和恢复质量-15 (QoR-15) 评分是主要和次要结局.
- 数据是在手术后的不同时间点收集的.
主要成果:
- 干预组在术后的前24小时内显著降低了阿片类药物消费 (P < 0.05).
- 在干预组中,在多个时间点 (P < 0.05) 观察到显著减少的VAS疼痛得分.
- 干预组中获得了优质恢复质量-15 (QoR-15) 评分,没有报告的不良事件.
结论:
- 超声导向双边PSB与RSB相结合是一种有效的策略,可以提高心脏手术中的术后止痛和恢复质量.
- 这种组合阻断技术为接受中枢骨切除术的患者提供了一种安全且高效的新型疼痛管理选择.
- 这种方法成功地减少了术后止痛药的需要,并改善了心脏手术患者的整体康复体验.
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