超声导向的Ilioinguinal/Iliohypogastric阻断缓解了前列腺手术后的导管相关的膀不适:一个前性的随机对照试验
1Anaesthesiology, Yantai Yuhuangding Hospital, Shandong, CHN.
Cureus
|November 12, 2025
概括
超声导向的 iliohypogastric-ilioinguinal 神经块有效地减少了前列腺手术后的导管相关的膀不适和疼痛. 这种神经阻塞提供了一种有前途的策略,以改善经过尿道切除前列腺后患者的康复.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 导管相关的膀不适 (CRBD) 是前列腺经尿道切除 (TURP) 后的常见并发症,特别是在老年患者中.
- 目前对CRBD的预防策略有限,需要新的方法.
研究的目的:
- 评估超声波导向的 iliohypogastric-ilioinguinal 神经阻断 (IINB) 在缓解 TURP 后的 CRBD 的有效性.
主要方法:
- 接受TURP的80名老年男性患者被随机分为两组:IINB组 (n=40) 接受双边神经阻塞,对照组 (n=40) 接受标准全身麻醉.
- 主要结局是CRBD严重程度,在多个时间点进行术后评估.
- 二级结局包括疼痛评分,手术期间使用阿片类药物和恢复指标.
主要成果:
- 与对照组相比,IINB组在早期术后时间点 (5分钟至6小时) 显示CRBD得分明显较低.
- 接受IINB治疗的患者经历了手术后疼痛得分的降低,并且需要更少的手术内阿片类药物治疗.
- 两组之间没有观察到PACU停留时间或常见术后并发症发生率的显著差异.
结论:
- 超声导向的 iliohypogastric-ilioinguinal 神经阻塞是一种有效的方法,可以减少早期手术后的CRBD和 TURP 患者的疼痛.
- IINB可能有助于改善早期恢复和减少阿片类药物需求,而不会增加其他并发症.
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