勃起器脊柱平面阻塞对手术后恶心和吐在腰椎椎间盘的手术中的影响
Gokhan Erdem1, Fatma Kavak Akelma2,3, Burak Nalbant2,3
1Department of Anesthesiology and Reanimation, Ministry of Health Ankara Bilkent City Hospital, Çankaya, Ankara, Turkey drgokhanerdem@gmail.com.
Regional anesthesia and pain medicine
|June 30, 2025
概括
勃起器脊柱平面 (ESP) 阻断显著减少手术后恶心和吐 (PONV) 和腰椎间盘椎间盘手术的患者的疼痛. 这表明ESP阻断对于PONV预防和疼痛管理是有效的.
科学领域:
- 麻醉学 麻醉学
- 区域麻醉 区域麻醉
- 疼痛管理 疼痛管理
背景情况:
- 手术后恶心和吐 (PONV) 是一种常见的手术并发症,经常伴随疼痛.
- 对PONV和疼痛的有效管理对于手术后患者的康复至关重要.
- 腰椎间盘 (LDH) 手术在管理PONV和术后疼痛方面都存在挑战.
研究的目的:
- 评估起器脊柱平面 (ESP) 阻断在减少PONV发病率和严重性的有效性.
- 评估ESP阻断对疼痛水平,止痛药需求和手术内阿片类药物使用的影响.
- 在接受LDH手术的患者中调查术后疼痛和恶心严重程度之间的相关性.
主要方法:
- 一项前性,随机,双盲研究,涉及92名接受选择性单级LDH手术的患者.
- 患者接受了ESP阻塞与布皮瓦卡因或假阻塞,以及标准PONV预防和止痛.
- PONV被定义为恶心的严重程度 (数值评分尺度≥4),吐或需要救援抗药.
主要成果:
- 与对照组相比,ESP组 (10%) 的整体PONV发病率明显低于对照组 (34.1%).
- 在ESP群体中,恶心的严重程度降低,救援抗和止痛药的需求降低,以及手术内使用雷米芬坦尼尔的减少.
- 手术后,ESP组的疼痛强度明显较低,疼痛和恶心严重程度之间有很强的相关性.
结论:
- 勃起器脊柱平面 (ESP) 阻断有效地减少了在接受腰椎椎间盘的手术的患者中PONV的发生率和严重程度.
- 阻断ESP提供显著的镇痛作用,有助于多式联络疼痛管理策略.
- 这种技术显示出作为PONV预防的辅助和LDH手术后增强恢复的承诺.
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