相关实验视频

Updated: Jan 17, 2026

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy

Published on: January 31, 2025

在小儿泌尿外科手术中比较尾神经阻塞和尾阻塞:系统性审查和元分析

Feras Ayaz¹, Osamah Arafah¹, Hanadi Almashooq¹

¹Anesthesia, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.

|September 15, 2025

概括

在小儿泌尿外科手术中,尾神经阻塞 (PNBs) 与尾部阻塞 (CBs) 相比,提供更好的疼痛缓解. PNBs减少术后疼痛,阿片类药物使用和并发症,支持它们的临床整合.

科学领域:

麻醉学麻醉学
儿科手术儿科手术
疼痛管理疼痛管理

背景情况:

尾神经阻塞 (PNBs) 和尾部阻塞 (CBs) 是用于儿科泌尿外科手术的常见区域麻醉技术.
需要对其在这个人群中的有效性和安全性进行比较分析.

研究的目的:

在儿科泌尿外科手术中系统地审查和元分析PNB与CB的疗效和安全性.
为了比较术后疼痛得分,镇痛持续时间和并发症率.

主要方法:

按照PRISMA指南进行系统审查和元分析.
在PubMed,Scopus和Cochrane CENTRAL中搜索相关的RCT和观察性研究.
包括7项涉及644名儿科患者的研究;使用Review Manager 5.4.4提取和分析的数据.

主要成果:

与CB相比,PNBs在6小时,12小时和24小时显著降低了术后疼痛评分 (MD -1.83, -2.10, -2.94).
PNBs显示疼痛缓解的持续时间延长,阿片类药物消费减少,尿和救援疼痛的发病率降低.
在PNB和CB之间,在运动阻断或全身副作用方面没有发现显著差异.

结论:

与小儿泌尿外科手术中的CB相比,PNB提供更好的疼痛缓解和减少阿片类药物消耗和并发症.
这些发现支持使用PNB作为有效的区域麻醉技术在这个患者群体.
建议进行进一步的研究,以优化疼痛管理策略.

关键词:

尾巴堵塞尾巴堵塞尾巴堵塞儿科麻醉儿科麻醉术后止痛药术后止痛药布登达尔神经阻塞区域麻醉地区麻醉泌尿外科手术是什么意思

更多相关视频

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex

Published on: July 4, 2018

Cavernous Nerve Stimulation and Recording of Intracavernous Pressure in a Rat

Cavernous Nerve Stimulation and Recording of Intracavernous Pressure in a Rat

Published on: April 23, 2018

相关概念视频

Local Anesthetics: Clinical Application as Spinal Anesthesia

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...

Local Anesthetics: Clinical Application as Epidural Anesthesia

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...