超声导向的次横间关节 (STIL) 阻断与勃起脊柱平面 (ESP) 阻断用于经过改性激进切除术 (MRM) 的患者的术后止痛 - 一项随机比较研究
Neelesh Anand1, Amrita Rath1, Reena1
1Department of Anaesthesiology, Institute of Medical Sciences, BHU, Varanasi, Uttar Pradesh, India.
Indian journal of anaesthesia
|May 14, 2025
概括
与经过修改的激进乳房切除手术后的勃起器脊柱平面 (ESP) 阻断相比,横横间关节 (STIL) 阻断提供更好的疼痛缓解和减少阿片类药物的使用. 这一发现凸显了STIL阻断作为这种程序的潜在更有效的区域麻醉技术.
科学领域:
- 区域麻醉技术 区域麻醉技术
- 疼痛管理 疼痛管理
- 手术手术手术手术手术手术手术手术手术手术手术
背景情况:
- 超声导向区域麻醉具有先进的副脊柱阻断技术.
- 勃起器脊柱平面 (ESP) 阻断和横向下关节间 (STIL) 阻断是值得注意的技术.
- 对STIL和ESP阻断功效的比较对于手术疼痛管理至关重要.
研究的目的:
- 为了比较STIL阻断与ESP阻断的止痛效果.
- 为了评估经手术后的疼痛评分和经过改性激进乳房切除术 (MRM) 后的阿片类药物消耗.
- 评估救援止痛需要和与每个块相关的不良影响.
主要方法:
- 120名接受MRM的女性患者被随机分为ESP (I组) 或STIL (II组) 块组.
- 两组都接受了20毫升0.25%的Levobupivacaine和4毫克的德克萨米他松.
- 主要结局:疼痛评分在12小时. 二次结局:24小时的阿片类药物消费,止痛的持续时间和救援剂量.
主要成果:
- 与ESP块 (I组) 相比,STIL块 (II组) 在2,6,12和24小时的数值评分表 (NRS) 疼痛得分明显较低.
- 第二组显著减少了阿片类药物总需求,并减少了救援止痛剂量.
- 在STIL阻断组中,镇痛的持续时间明显更长.
结论:
- 与ESP阻断相比,STIL阻断在接受MRM的患者中提供了优越的术后疼痛控制.
- STIL 阻断与明显降低疼痛评分和减少阿片类药物消费有关.
- 与ESP阻断相比,STIL阻断为MRM患者提供了更有效的止痛选择.
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