脊柱平面阻塞与腹肌区块与坐骨神经阻塞用于麻醉,用于重症患者单侧下肢手术:一个随机的开放标签研究
Mohamed R Elbasyouny1, Mohsen M Eissa1, Mahmoud R Zomra1
1Anesthesiology, Surgical Intensive Care and Pain Management Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Anesthesiology and pain medicine
|October 17, 2025
概括
腰椎起器脊柱平面阻塞 (LS-ESPB) 在下肢手术中比psoas区块阻塞 (PCB) - 坐骨神经阻塞 (SNB) 组合更有效. LS-ESPB提供了更高的成功率,更好的疼痛管理和更好的患者满意度.
科学领域:
- 麻醉学 麻醉学
- 区域麻醉地区麻醉
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 区域麻醉在下肢 (LL) 手术中越来越受欢迎.
- 囊区块 (PCB) 与坐骨神经块 (SNB) 结合,提供有效的LL麻醉和血液动力稳定性.
- 腰椎起器脊柱平面块 (LS-ESPB) 通过准腰部和腰部区域来缓解疼痛,显示出有前景.
研究的目的:
- 为了比较LS-ESPB与PCB-SNB组合在单边LL麻醉中的有效性.
主要方法:
- 这是一项随机的开放性研究,对130名接受单边LL手术的危急病患者进行了随机研究.
- 组A:超声指导的腰部勃起器外围神经阻塞 (LESPB) 和部勃起器外围神经阻塞 (SESPB).
- 组B:超声波引导的PCB与SNB相结合. 两组都接受了0.25%的布皮瓦卡因.
主要成果:
- 在LS-ESPB组中,成功率明显更高 (90.77%与76.92%相比).
- 在LS-ESPB组中降低了手术内心率,平均动脉血压,疼痛评分和吗啡消耗.
- 在LS-ESPB组中,延长了第一次救援止痛的时间和更高的患者满意度.
结论:
- 在单边LL手术中,LS-ESPB优于PCB-SNB组合.
- LS-ESPB提供了更高的成功率,更好的血液动力学,更好的止痛效果和更高的患者满意度.
- 这两种技术都显示出类似的副作用概况.
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