超声导向的坐骨神经阻断与尾部止痛在脑麻中进行下肢手术的尾部止痛
Hany Magdy Fahim1, Ramy Mahrose2, Amr A Kasem2
1Lecturer of Anesthesia, Intensive Care and Pain Management, Ain Shams University, Cairo, Egypt.
超声导向的下垂体坐骨神经阻塞 (SNB) 与尾部外周阻塞 (CEB) 相比,在接受下肢手术的脑儿童中提供更优质的疼痛缓解,提供更持久的止痛.
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:
- 超声波 (US) 引导的区域麻醉,包括神经轴和外围神经块 (PNB),在儿科患者中越来越多地使用.
- 这些技术是全身麻醉的有效辅助剂.
研究的目的:
- 为了比较美国指导的尾部外周阻塞 (CEB) 和下垂体坐骨神经阻塞 (SNB) 的止痛效果.
- 评估这些技术在患有性脑 (CP) 的儿科患者进行单边下肢手术.
主要方法:
- 一项随机比较研究,涉及30名患有性心肌梗塞的儿科患者 (2-12岁).
- 患者被随机分配,接受美国指导的CEB或美国指导的SNB.
- 评估的结果包括第一次止痛的时间,疼痛评分,止痛剂消耗和并发症.
主要成果:
- 与尾 epidural block (CEB) 组 (5.93 ± 1.68 h) 相比,下阴道坐骨神经阻塞 (SNB) 组显示术后疼痛缓解时间显著更长 (14.65 ± 3.08 h).
- 术后疼痛评分和24小时止痛药消耗在SNB组明显较低.
- 两组患者的外科手术期间的安全性表现相似.
结论:
- 美国指导的SNB是美国指导的CEB的安全有效替代品,用于接受下肢手术的性CP的儿科患者.
- 瑞士国家医院 (SNB) 提供了延长的术后止痛,其安全性与CEB相比较.
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