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减少疼痛和阿片类药物使用:实施通过皮肤进行瘤切除的增强恢复途径

Aaron Saxton¹, David Song¹, Christopher Wanderling¹

¹Department of Urology, University of Rochester, Rochester, NY, USA.

Current urology

|September 2, 2025

概括

与传统方法相比,使用勃起脊柱平面 (ESP) 阻断手术后增强恢复 (ERAS) 途径显著降低了术后疼痛和阿片类药物的使用.

科学领域:

尿道病学
麻醉学
治疗疼痛

背景情况:

穿皮瘤切除没有标准化的术后止痛途径.
手术后复原 (ERAS) 协议旨在优化手术复原.
勃起脊柱平面 (ESP) 阻断是一种区域麻醉技术.

研究的目的:

评估ERAS途径的有效性,包括手术前ESP阻断,用于经皮瘤切除术后的疼痛治疗.
将ERAS与传统疼痛控制组之间的阿片类药物消耗和疼痛评分进行比较.

主要方法:

通过皮肤进行瘤切除的患者病历的回顾.
两个群体的比较:ERAS途径 (ESP阻断+多式止痛疗法) 与传统止痛疗法.
主要结局:术后的吗啡等价物;次要结局:疼痛评分,家庭阿片类药物处方,生活质量.

主要成果:

在ERAS队列中,术后接受的吗啡相当剂量显著减少 (17. 0对39. 9),并且报告了较低的护理疼痛得分 (2. 4对3. 6).
在ERAS组中,接受家庭阿片类药物处方的患者较少 (53%对80%).
没有观察到生活质量的显著差异; 没有发生与ESP阻断相关的不良事件.

结论:

具有术前ESP阻断和多模式止痛的ERAS途径有效降低了术后疼痛和阿片类药物需求.
这种方法提供了一种有前途的替代方案,用于通过皮肤进行瘤切除的传统疼痛治疗.
建议通过随机前性研究进行进一步的调查以验证这些发现.

关键词:

在手术后恢复起器脊柱平面块脏病减少使用阿片类药物通过皮肤进行质切除

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