区域麻醉在美国的使用模式,用于泛尼切除术
Angad S Sidhu1, George S Corpuz1, Nikola Vuckovic2
1Division of Plastic and Reconstructive Surgery, Indiana University School of Medicine, Indianapolis, IN, United States of America.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|December 23, 2025
概括
区域麻醉 (RA) 提供了Panniculectomy后疼痛管理的好处. 这项研究在调整了患者因素后,没有发现RA使用的种族或种族差异,这表明整体潜在的使用不足.
科学领域:
- 麻醉学 麻醉学
- 整形外科 整形外科 整形外科
- 健康差距 研究 研究 研究 研究
背景情况:
- 已知区域麻醉 (RA) 可以减少阿片类药物使用并改善恢复.
- 有限的数据存在于RA在整形外科的利用,特别是在身体轮手术,如面膜切除术.
- 在其他外科领域也注意到RA使用的种族和民族差异.
研究的目的:
- 评估区域麻醉 (RA) 在接受泛尼结核切除术的患者的使用情况.
- 调查这种患者群体的RA使用中潜在的种族和民族差异.
- 确定优化疼痛管理策略的机会.
主要方法:
- 使用美国外科医生学院-国家外科质量改善计划 (ACS-NSQIP) 数据库 (2014-2020) 的回顾性队列研究.
- 分析了8779名经历了泛切除术的患者,评估了辅助外围神经阻塞的使用.
- 多变量逻辑回归用于确定患者特征和RA接收之间的关联.
主要成果:
- 总体而言,6.8%的患者接受了泛尼结核切除术后的RA.
- 未经调整的分析表明,与白人患者相比,黑人患者的RA使用率较低.
- 在调整了多个患者因素后,没有观察到RA接收的统计学上显著的种族或种族差异.
结论:
- 在经过统计调整后,没有发现区域麻醉用于泛尼切除术的显著种族或民族差异.
- 由于RA的整体利用率很低,这表明RA在此过程中潜在的使用不足.
- 需要进一步的研究和实施策略,以优化RA的预防性疼痛管理,以治疗胰腺切除术患者.
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