经过单门胸腔镜手术后用于术后止痛的修饰连续肋间间神经阻塞
Li-Xiang Zhang1, Li Lin2, Yuan-Liang Zheng3
1Department of Thoracic Surgery, The Dingli Clinical College of Wenzhou Medical University, Wenzhou Central Hospital, 252 Bai Li Dong Road, Wenzhou, 325000, China.
BMC surgery
|October 3, 2025
概括
改性连续骨际神经阻塞 (MCINB) 在单门胸腔镜肺部手术后,与静脉止痛 (IAP) 相比,提供更好的疼痛控制. 这种方法提高了患者的满意度,并减少了住院和医院费用.
科学领域:
- 胸部外科手术 胸部外科手术
- 疼痛管理 疼痛管理
- 麻醉学 麻醉学
背景情况:
- 有效的术后疼痛管理对于手术恢复至关重要.
- 单门胸腔镜肺切除需要强大的疼痛控制策略.
- 传统的静脉静脉止痛 (IAP) 是常用的,但可能有局限性.
研究的目的:
- 评估改性连续肋间神经阻塞 (MCINB) 的安全性和有效性.
- 为了比较MCINB与常规的静脉静脉止痛 (IAP) 进行疼痛管理.
- 为了评估单门胸腔镜肺切除后的结果.
主要方法:
- 对458名接受单门胸腔镜肺切除术的患者的回顾性分析 (2020年1月 - 2023年12月).
- 患者被分为MCINB和IAP组.
- 术后疼痛评分 (NRS),患者满意度,救援止痛使用,副作用,并发症,住院和成本的比较.
主要成果:
- MCINB 组在休息和咳期间的NRS 疼痛评分显著降低 (p < 0.001).
- 在MCINB组中,患者满意度更高 (90.3%与65.6%,p < 0.001).
- MCINB组经历了更短的住院时间,更低的成本,减少了救援止痛药的使用,以及更少的副作用 (p < 0.001).
结论:
- 改性连续肋间神经阻塞 (MCINB) 是一种安全有效的止痛选择.
- 在单门胸腔镜手术后,MCINB提供了优质的早期术后疼痛管理.
- MCINB改善了患者的治疗结果和资源利用.
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