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超声波引导的PECS II块减少心脏装置植入过程中的疼痛:一项前性受控研究

Mihaela Butiulca^1,2, Florin Stoica Buracinschi^3,4, Alexandra Lazar^1,2

¹Department of Anesthesiology and Intensive Care Medicine, Faculty of General Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540001 Târgu Mureș, Romania.

Medicina (Kaunas, Lithuania)

|August 28, 2025

概括

在接受心脏植入式电子装置 (CIED) 植入的患者中,超声引导的PECS II阻断显著减少疼痛和救援止痛. 这种区域麻醉技术提供了比传统局部透更安全,更节省阿片类药物的替代方案.

科学领域:

麻醉学
心脏病学
区域麻醉

背景情况:

心脏植入式电子装置 (CIED) 植入常见于老年患者和并发症患者.
尽量减少术后疼痛和全身药物使用对于这一患者群体至关重要.
传统的局部透通常在CIED手术中提供不充分的止痛效果.

研究的目的:

与标准局部麻醉相比,对第二 (PECS) II 块进行超声导向胸部神经阻塞的疗效进行评估.
在CIED植入期间和之后评估疼痛减轻和止痛药的需求.

主要方法:

一项前性,受控,非随机研究包括106名接受CIED新植入的患者.
患者接受了PECS II阻断剂 (n=53) 或标准利多卡因局部麻醉 (n=53).
使用数值评分表 (NRS) 评估手术期间和手术后1,6小时和12小时的疼痛.

主要成果:

在所有测量时间点上,PECS II组报告了显著较低的NRS疼痛得分 (p < 0. 001).
只有7. 5%的PECS II组在1小时内需要救助止痛,而对照组的这一比例为100%.
在PECS II组中,住院时间缩短,治疗时间长,患者满意度更高.

结论:

超声波引导的PECS II阻断是CIED植入期间术后疼痛治疗的有效和安全替代方案.
这种区域麻醉技术显著减少疼痛和需要额外的止痛药, 节省阿片类药物.
将PECS II块纳入临床方案可以改善CIED手术后的患者舒适度和康复程度.

关键词:

国际贸易区其他国家区域麻醉

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