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表面与深部局部麻醉透在手腕道释放:一个随机临床试验
Kristi Billard1, Yanzhao Cheng1, Laura Sims1
1Department of Surgery, University of Saskatchewan, Saskatoon, SK, Canada.
对于手掌道释放 (CTR),建议进行表面局部麻醉 (LA) 透,因为它比深层透更简单,更安全. 这两种技术在CTR期间都提供了类似的疼痛缓解,但患者的不适没有显著差异.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 手术麻醉手术麻醉
背景情况:
- 带道释放 (CTR) 经常使用局部麻醉 (LA) 进行,患者保持清醒.
- 一些患者在清醒CTR过程中会感到不舒服或疼痛.
- 优化LA技术可以改善CTR期间的患者体验.
研究的目的:
- 为了比较两种局部麻醉 (LA) 透技术的疼痛体验,用于手腕道释放 (CTR):表面 (皮下) 与深 (皮下加到手腕道).
- 确定哪种LA透技术在CTR过程中提供了卓越的疼痛缓解和患者舒适度.
主要方法:
- 一项随机临床试验,涉及74名参与者 (80例) 接受CTR.
- 参与者被随机分配,接受深层或表面的LA透.
- 在LA施用和手术期间的疼痛和刺痛,以及手术后2,8和24小时的疼痛是主要结果.
- 临床结果在基线和3个月后使用波士顿手腕道问卷进行了评估.
主要成果:
- 在LA给药或CTR程序期间,在深层和表面LA透组之间没有观察到疼痛或刺痛的统计学上显著差异.
- 虽然深层组在LA透期间报告了略高的疼痛率 (21%对9.5%),但这在统计学上并不显著.
- 两组人都在临床结果显著改善,根据波士顿手腕道问卷测量.
结论:
- 由于其技术简单性和中枢神经损伤风险降低,建议对CTR进行表面LA透.
- 在LA给药期间或CTR.深层和表面LA透技术之间的程序中经历的疼痛没有显著的差异.
- 这两种技术都在手道综合征的临床结果上具有相似的结果.
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