勃起器脊柱平面块用于术后疼痛缓解在拉巴洛斯科普活体捐赠者的脏切除术中
Bora Dinc1, Ilker Onguc Aycan, Ali Avanaz
1>From Akdeniz University Medical Faculty, Department of Anesthesiology and Reanimation, Antalya, Türkiye.
概括
勃起器脊柱平面块在腹腔镜活体捐赠者切除术后没有减少疼痛. 然而,这种方法在手术后的前24小时减少了总止痛药的消耗.
科学领域:
- 麻醉学 麻醉学
- 手术创新 在外科创新.
- 疼痛管理 疼痛管理
背景情况:
- 手术后的捐赠者护理正在以新的止痛技术发展.
- 勃起器脊柱平面块因其有效性而越来越受欢迎.
- 勃起器脊柱平面块在腹腔镜活体捐赠者切除术中的实用性仍在调查中.
研究的目的:
- 为了评估勃起器脊柱平面块在腹腔镜活体捐赠者切除术中的有效性.
- 评估对手术后疼痛和24小时内总止痛药消耗的影响.
- 为了比较接受直立脊柱平面块和标准护理的患者之间的结果.
主要方法:
- 一项随机的前性队列研究,涉及60名活着的脏捐赠者接受选择性切除术.
- 起器脊柱平面阻塞组 (n=30) 接受了阻塞加常规止痛.
- 对照组 (n=30) 接受了标准的止痛药.
- 疼痛评分和止痛药消耗被评估在1,6,12和24小时的术后.
主要成果:
- 24小时后,两组之间疼痛评分 (口语数值评分表,Wong-Baker面部疼痛评分表) 没有显著差异.
- 在勃起器脊柱平面阻塞组 (P = .003) 中,特拉马多尔的总消耗显著较低 (P = .003).
- 回归分析证实,区块应用与减少特拉马多尔消费有关 (P = .001).
结论:
- 双边超声波导向勃起器脊柱平面块在拉巴洛斯科普活体捐赠者脏切除术后24小时内没有显示出缓解疼痛的有效性.
- 与对照组相比,勃起器脊柱平面块组观察到止痛药消耗的显著减少.
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