大神经阻塞在隔膜整形术中的影响
Nezir Yılmaz1, Burak Çilingir1
1Anesthesiology and Reanimation Department, Adıyaman University, Faculty of Medicine, Adıyaman Training and Research Hospital, Adıyaman, Turkey.
超囊上神经阻塞 (SMB) 改善了血液动力学稳定性,并减少了隔膜整形手术后的疼痛. 这种技术可以改善患者的康复,并且可以作为多模式止痛的一部分.
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:
- 隔膜整形是一个常见的外科手术程序.
- 有效的疼痛管理和血液动力学稳定性对于治疗后患者的最佳结果至关重要.
研究的目的:
- 为了评估上上神经阻塞 (SMB) 在接受隔膜整形手术的患者的疗效.
- 评估SMB对术后血液动力学,术后疼痛和恢复质量的影响.
主要方法:
- 一项前性随机对照试验,涉及60名接受隔膜整形手术的患者.
- 患者被分为一个对照组和一个Suprazygomatic Maxillary Nerve Block (SMB) 组.
- 测量结果包括血液动力学参数,视觉模拟尺度 (VAS) 疼痛评分,恢复质量-15 (QoR-15) 评分,以及救援止痛药的需要.
主要成果:
- 经过手术后,SMB组的平均动脉压和心率显著降低.
- 接受SMB治疗的患者报告VAS疼痛得分显著降低,QoR-15得分更高.
- 在中小企业群体中,救援止痛药的需要减少了,尽管总止痛剂量没有显著差异.
结论:
- 在隔膜整形术期间施加上体上神经阻塞 (SMB) 会增强外科手术期间的血液动力稳定性.
- SMB有效地减少了手术后的疼痛,并改善了隔膜整形术后的康复质量.
- SMB 是多式联络止痛策略的宝贵补充物,用于形术患者.
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