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没有镇静或神经阻塞的办公室LA-BET:对简化局部麻醉协议的前性评估
Cheng-Yu Hsieh1,2,3, Yi-Fan Chou1,2, Chuan-Jen Hsu1
1Department of Otolaryngology, Head and Neck Surgery, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung 427, Taiwan.
在局部麻醉 (LA) 下的气球欧斯塔基管整形 (BET) 采用简化疼痛管理协议,对于阻塞性欧斯塔基管功能障碍 (OETD) 是安全有效的. 这种精简的LA-BET为患者提供了显著的症状缓解和功能改善.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
- 麻醉学 麻醉学
背景情况:
- 阻塞性尤斯塔希管功能障碍 (OETD) 影响生活质量.
- 气球欧斯塔基管整形 (BET) 是一种成熟的治疗方法.
- 在局部麻醉 (LA) 下使用简化协议进行BET的可行性尚未研究.
研究的目的:
- 评估简化LA-BET协议的可行性.
- 为了评估患者的舒适度和结果,使用最小的止痛.
- 为了确定LA-BET对OETD的安全性和有效性.
主要方法:
- 50名OETD患者在LA下接受了BET.
- 协议包括肌肉内开托洛拉克和局部利多卡因凝.
- 没有给予镇静剂或神经阻塞.
主要成果:
- 尤斯塔基管功能障碍调查问卷-7 (ETDQ-7) 的得分显著改善 (p < 0.001).
- 在ETDQ-7得分中,临床重要差异最小 (90.6%) 和正常化 (75.0%) 的高率.
- 改善了瓦萨尔瓦机动成功 (39.1%至76.6%) 和 tympanogram 类型 (64.1%至84.4%).
- 在整个程序中,平均疼痛得分很低 (≤3.5).
- 患者接受度很高 (96%的人会重复LA-BET).
结论:
- 使用凯托洛拉克和利多卡因简化LA-BET是安全的,可以容忍的和有效的.
- 该方案实现了显著的症状缓解和功能改善.
- 这种方法为OETD管理提供了一个实际的,非镇静的门诊选择.
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