4点横向腹部平面阻塞对腹膜厚度的影响在接受腹腔镜胆囊切除术的患者中
Nuran Akinci Ekinci1, Mehmet Akif Yazar, Yasin Tire
1Department of Anesthesiology and Reanimation, Konya City Hospital, University of Health Sciences, Karatay, Konya, Turkey.
Journal of minimal access surgery
|October 8, 2025
概括
一个四点横腹平面 (TAP) 阻断显著改善隔膜厚度 (DT) 的保存,并加强腹腔镜胆囊切除术 (LC) 后的术后恢复. 这种技术还可以改善疼痛控制和整体恢复质量.
科学领域:
- 麻醉学 麻醉学
- 术后恢复 术后恢复
- 区域麻醉地区麻醉
背景情况:
- 腹腔镜胆囊切除术 (LC) 可以影响呼吸功能.
- 手术后的隔膜厚度 (DT) 变化可能与康复相关.
- 优化术后恢复和疼痛管理至关重要.
研究的目的:
- 为了评估四点横腹平面 (TAP) 块对LC后隔膜厚度 (DT) 的影响.
- 评估四点TAP阻断是否改善了手术后疼痛控制.
- 为了确定4点TAP区块对手术后康复质量的影响.
主要方法:
- 预期随机对照试验,包括86名接受选择性LC的患者.
- 干预组接受了布皮瓦卡因的4点TAP阻断;对照组没有干预.
- 隔膜厚度 (DT),视觉模拟尺度 (VAS) 疼痛评分和恢复质量-15 (QoR-15) 评分是主要和次要结局.
主要成果:
- 与对照组相比,4点TAP区块组显示出与对照组相比,启发性DT的保存明显更好.
- 接受4点TAP阻塞的患者报告了较低的术后疼痛得分.
- 在TAP区组中观察到更高的恢复-15质量 (QoR-15) 评分.
结论:
- 4点TAP阻断在腹腔镜胆囊切除术 (LC) 后有效地保持隔膜厚度 (DT).
- 这种区域麻醉技术可以改善术后疼痛管理,提高康复质量.
- 建议进行进一步的大规模研究以验证这些发现.
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