超声导向的逆膜膜阻断在皮肤透过性利切除过程中减少了经手术后的胃肠道系统功能障碍:一项前性,随机,双盲临床研究
Serpil Bayindir1, Kadir Yildirim2
1Department Of Anesthesiology And Reanimation, Health Sciences University, Elazig Fethi Sekin SUAM, Elazig, Turkey.
Scientific reports
|September 30, 2025
概括
超声导向的逆膜阻断 (RLB) 在皮肤透神经切除术 (PCNL) 后显著改善疼痛控制和胃肠功能. 这种技术减少了阿片类药物的使用和住院时间,提高了患者的康复和满意度.
科学领域:
- 麻醉学 麻醉学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
背景情况:
- 皮肤透神经切除术 (PCNL) 可能导致术后胃肠功能障碍和疼痛.
- 有效的疼痛管理和早期康复对于PCNL患者至关重要.
研究的目的:
- 为了评估超声导向逆膜阻断 (RLB) 对手术后胃肠功能和PCNL手术内血动力学的影响.
- 为了比较RLB与疼痛管理和恢复结果的标准护理.
主要方法:
- 一项随机对照试验,涉及58名接受PCNL的成年患者.
- RLB组接受了用布皮瓦卡因进行超声导向的逆膜块;对照组没有接受块.
- 主要结局:术后腹部的佩拉斯评分. 二次结果:胃肠道功能,疼痛评分,血液动力学参数和患者满意度.
主要成果:
- RLB组显示,手术内阿片类药物消耗显著降低,并延长了挽救疼痛的时间.
- 接受RLB治疗的患者胃含量体积减少,I-FEED得分降低,表明改善了肠道功能.
- 在RLB组中观察到较低的视觉模拟尺度 (VAS) 评分和高的患者满意度,以及改善的血液动力稳定性.
结论:
- 超声导向的逆膜阻塞是PCNL的安全有效的止痛方法.
- 在PCNL患者中,RLB改善了术后疼痛管理,胃肠功能和血液动力稳定性.
- 该技术通过减少阿片类药物使用和更快的恢复,提高了患者的满意度.
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