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勃起器脊柱平面阻塞与准脊柱阻塞和安慰剂对皮肤透过性利切除术后的恢复质量:一种随机对照试验

Yanting Xiao¹, Huifen Lin², Yifen Zhuo³

¹Department of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou, China.

Journal of clinical anesthesia

|November 6, 2025

概括

与安慰剂相比,勃起器脊柱平面阻塞 (ESPB) 显著提高了皮肤穿神经解剖术 (PCNL) 后的恢复质量. ESPB是一种安全有效的替代品,用于PCNL止痛的横腹平面阻塞 (TPVB).

科学领域:

麻醉学和疼痛管理
术后恢复术后恢复
区域麻醉技术区域麻醉技术

背景情况:

穿皮骨切除术 (PCNL) 是对结石的一种常见手术.
有效的术后疼痛管理对于PCNL后患者的康复至关重要.
区域麻醉技术如ESPB和TPVB正在探索改善结果.

研究的目的:

用ESPB,TPVB和安慰剂来比较PCNL后恢复的质量.
评估ESPB对安慰剂的优越性和对术后康复的TPVB的非劣势性.

主要方法:

一项随机,双盲,安慰剂对照试验与120名接受选择性单边PCNL的成年患者进行.
患者被分配给接受ESPB,TPVB或安慰剂.
主要结局是24小时后的恢复质量-15 (QoR-15) 评分.

主要成果:

ESPB显示QOR-15得分明显高于安慰剂 (P < 0.001) 并满足与TPVB相比的非劣质标准.
与安慰剂相比,ESPB和TPVB都将疼痛评分和吗啡消费量减少了约40%, (P < 0.001).
患者的满意度更高,并且与安慰剂相比,使用两种阻塞延长了第一次救助止痛的时间,没有报告与阻塞相关的并发症.

结论:

在PCNL之后,ESPB显著提高了恢复质量,表现优于安慰剂,并证明与TPVB不劣.
ESPB是PCNL止痛药的安全有效替代品,其疗效和安全性与TPVB相比.
这些发现支持ESPB用于增强PCNL患者的术后恢复.

关键词:

勃起器的脊柱平面阻塞块脊柱平面阻塞块副脊椎阻塞副脊椎阻塞通过皮肤进行神经质切除术.术后康复术后康复恢复的质量恢复的质量.区域麻醉地区麻醉

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