围神经和静脉注射德克萨米他之间的比较,对超关节臂块疼痛缓解的持续时间进行比较 - 一项观察性研究
Siddhartha Sahana1, Rashmi R Aithal, Shahbaz Haroon
1Department of Anaesthesiology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India.
Annals of African medicine
|January 23, 2026
概括
与静脉注射相比,在超声波导向的脑关节上支骨阻断后,围膜甲松显著延长了疼痛缓解的持续时间,长达24小时. 这导致了长时间的疼痛缓解和减少了救援止痛药的需要.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
背景情况:
- 区域区块提供有限的疗效持续时间.
- 德克萨米他可以延长区域麻醉的持续时间.
- 超声导向的关节上交叉体阻塞用于上肢手术.
研究的目的:
- 在疼痛缓解的持续时间方面,请比较周围神经与静脉注射德克萨米他.
- 评估拯救止痛的时间.
- 评估术后恶心和吐 (PONV) 等不良事件.
主要方法:
- 100名成年患者接受了USG导向的脑关节上关节上臂阻塞.
- 患者接受了周围神经或静脉注射4毫克德克萨米他.
- 记载了止痛,疼痛得分,不良事件和救援止痛.
主要成果:
- 在24小时内,周围神经甲松组的疼痛缓解率 (72%vs.24%) 和疼痛减轻率 (76%vs.36%) 显著提高.
- 手术后恶心和吐 (PONV) 发生率最小,在不同组之间可比.
- 周围神经神经元组的救援止痛要求较低.
结论:
- 周围神经中甲对于延长麻醉持续时间至24小时,优于静脉注射.
- 这种途径提供了长时间的疼痛缓解,并减少了救援止痛药的需要.
- 由于延长疼痛缓解,观察到周围神经甲松的改善恢复.
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