勃起器脊柱平面阻塞作为尾部阻塞的替代方案,用于同时进行儿科泌尿外科和 inguinal 手术:一个双盲随机对照试验
Volkan Özen1, Engin İhsan Turan2, Taylan Kirdan1
1Department of Anesthesiology and Reanimation, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey.
Medicine
|April 14, 2025
概括
超声导向勃起器脊柱平面 (ESP) 块在儿科手术中提供了优越的术后疼痛缓解,与儿科手术中的尾部块相比. 这种更安全,更有效的止痛药可减少年轻患者的疼痛评分和止痛药需求.
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:
- 在儿科下腹部手术和割礼中,术后疼痛管理至关重要.
- 超声波引导区域麻醉技术越来越多地被使用.
- 将勃起器脊柱平面 (ESP) 块与尾部块 (CB) 对止痛进行比较具有临床意义.
研究的目的:
- 为了比较超声波引导的高体积双侧勃起器脊柱平面 (ESP) 块与超声波引导的尾部块 (CB) 的止痛效果和安全性.
- 为了评估手术后疼痛得分,止痛药的需求,并发症的儿科患者接受下腹部手术和割礼.
主要方法:
- 一项前性,随机,双盲研究,涉及60名男性儿科患者 (1-7岁).
- 患者被随机分配到接受超声引导ESP阻断或超声引导CB手术前,两者都使用0.125%的布皮瓦卡因.
- 使用面部,腿部,活动,哭声和安慰度 (FLACC) 评分来评估疼痛,并在24小时内记录了止痛药的使用和并发症.
主要成果:
- 在术后6小时和12小时,ESP组的FLACC得分明显较低 (P=.011,P=.021).
- 在ESP组中,在前24小时内观察到对止痛药的需求较少 (P=.002).
- 在这两组中都没有报告术后并发症.
结论:
- 超声导向ESP阻断在接受割礼和下腹部手术的儿科患者中提供有效和安全的术后止痛.
- 在这种患者群体中,ESP阻断可以被视为尾巴阻断的可行替代方案,用于术后疼痛管理.
- 进一步的临床经验可能会支持ESP阻断在儿科区域麻醉中得到更广泛的采用.
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