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在关节整形术的术后疼痛管理中,Supra Inguinal Fascia Iliac Versus PENG Block:一个叙述性评论

Shahab Ahmadzadeh¹, Megan S Walker², Mary O'Dell Duplechin³

¹Department of Anesthesiology, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA 71103, USA.

Journal of clinical medicine

|June 26, 2025

概括

上上 iliaca 带块 (SIFIB) 和周关节神经组 (PENG) 块有效地管理关节整形疼痛,减少阿片类药物的使用. PENG提供更快的流动性,而SIFIB为复杂的案件提供更广泛的覆盖范围.

科学领域:

麻醉学麻醉学
整形外科手术整形外科手术
疼痛管理疼痛管理

背景情况:

在关节整形术后有效的术后疼痛控制对于患者的康复和减少并发症至关重要.
多模式麻醉策略越来越多地受到传统疼痛管理方法的青.
上膜腹膜阻塞 (SIFIB) 和周关节神经群 (PENG) 阻塞是新兴的技术.

研究的目的:

为了比较SIFIB和PENG阻断在关节整形术后术后疼痛管理的疗效.
评估两个块的作用机制,安全性,患者结果和临床应用.

主要方法:

这项研究是基于现有临床研究进行的叙述性综述,比较SIFIB和PENG阻断.
评估的关键结果包括疼痛减轻,阿片类药物消费,流动性和安全性.

主要成果:

无论是SIFIB还是PENG阻塞都有效地减少了术后疼痛和关节整形术后的阿片类药物使用.
PENG 阻断显示出更快的发病和改善早期的运动能力,在减少被动运动疼痛和早期阿片类药物消费方面效率略高.
SIFIB提供了更广泛的神经覆盖,适合复杂的手术,如全关节整形术,尽管它具有较高的运动功能损害风险.

结论:

无论是SIFIB还是PENG块都是用于关节整形术疼痛管理的宝贵工具,具有明显的优势.
对于优先考虑早期流动性而言,PENG块是首选的,而SIFIB可能更适合广泛的程序.
长期的恢复结果在两个块之间看起来很相似,未来的研究应该专注于个性化区块选择.

关键词:

止痛药是一种止痛药.关节质复原关节质复原关节质复原关节质复原带阴阻断带阴阻断这就是为什么Hip-Hip-Hip-Hip-Hip-Hip.这是一种神经障碍,神经障碍.疼痛疼痛疼痛疼痛在术后的术后治疗.

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