横向腹部平面块与横向腹部平面块对比 伤口透以减少手术后患者控制的止痛要求,在拉巴洛斯科普血液切除术后:一项回顾性病例对照研究
Alfie Wright1, Thomas Leahy1, Charki Chun1
1Anaesthetics, Southend University Hospital, Southend, GBR.
Cureus
|May 5, 2025
概括
腹部横向平面 (TAP) 块与腹腔镜半径切除术的伤口透相比没有显著的阿片类药物节约作用. 需要进一步的研究来澄清TAP块在多式联络止痛中的作用.
科学领域:
- 麻醉学 麻醉学
- 手术疼痛管理手术疼痛管理
背景情况:
- 横腹平面 (TAP) 阻塞和伤口透是腹腔镜结直肠外科手术中常见的止痛方法.
- 它们在减少术后阿片类药物消费方面的比较有效性尚未得到充分证实.
研究的目的:
- 为了比较TAP阻塞与伤口透在减少手术后吗啡消耗和腹腔镜半角切除术后患者控制的止痛 (PCA) 持续时间方面的疗效.
- 为了评估超声波引导和地标引导TAP块技术之间的差异.
主要方法:
- 进行了一项回顾性病例控制研究.
- 患者接受TAP阻塞 (n=59) 或伤口透 (n=33) 进行腹腔镜血栓切除术.
- 通过PCA和PCA持续时间的术后吗啡消耗是主要结局.
主要成果:
- 在TAP阻塞和伤口透组之间,在术后吗啡消耗 (p=0.111) 或PCA持续时间 (p=0.092) 中没有发现显著差异.
- 超声指导和地标指导的TAP块技术也在这些结果中没有显著差异.
- 在所有组中都注意到阿片类药物使用的高变化.
结论:
- 与这个队列中的伤口透相比,TAP阻塞没有提供显著的阿片类药物节约效应.
- 这些发现有助于关于TAP阻断剂疗效的相互矛盾的证据.
- 需要进一步的前性研究来评估TAP块在结直肠外科手术的多模式止痛中的临床实用性.
关键词:
laparascopic hemicolectomy laparascopic 腹腔镜内分泌切除术 腹腔镜内分泌切除术 腹腔镜内分泌切除术腹腔镜检查是指腹腔镜检查.这是一种阿片类药物节约性止痛药.在外科手术期间,为患者提供疼痛缓解.横向腹部平面块 (点击块) 是一个平面块.更多相关视频
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