在腹腔镜胆囊切除术中用于术后止痛的直肠间肋骨膜平面块
R S Theja1, M S Sahi1, R Kain1
1Department of Anaesthesia Pushpawati Singhania Hospital and Research Institute New Delhi India.
Anaesthesia reports
|January 23, 2026
概括
脊椎间侧平面块为腹腔镜胆囊切除术提供了有效的术后疼痛控制. 这种区域麻醉技术使七名患者的疼痛得分较低,并且不需要阿片类药物.
科学领域:
- 麻醉学 麻醉学
- 区域麻醉地区麻醉
- 手术疼痛管理手术疼痛管理
背景情况:
- 直角间肋骨带平面块是一种较新的区域麻醉技术.
- 在腹腔镜胆囊切除术中使用它的证据有限.
- 这种技术是为心脏和腹部上部手术提出的.
研究的目的:
- 评价直肋间隔膜平面块的可行性和有效性.
- 评估其在腹腔镜胆囊切除术多模式止痛中的作用.
- 报告受此阻断治疗的患者的疼痛评分和康复结果.
主要方法:
- 包括一系列7名接受选择性腹腔镜胆囊切除术的患者.
- 所有患者在手术前都接受了直角角间侧平面阻塞.
- 手术后的止痛药包括青和,在一个案例中,二二.
主要成果:
- 在所有测量时间点 (1-24小时) 中,术后疼痛得分始终较低 (0-2在休息状态,2-3在运动状态).
- 没有患者需要救援阿片类药物来治疗疼痛.
- 所有患者都经历了没有并发症的康复和早期出院.
结论:
- 脊椎间隔侧平面块是腹腔镜胆囊切除术多模式止痛的可行组成部分.
- 这种技术在这种手术环境中显示出有效的术后疼痛管理的潜力.
- 进一步的研究可能会支持更广泛地采用这种区域麻醉方法.
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