超声波引导的连续勃起器脊柱平面阻断和外周阻断在拉巴光学切除术中进行术后止痛的比较:前性干预研究
Amita Singh1, Prem Raj Singh2, Vinod Kumar Srivastava2
1Department of Anaesthesiology, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.
勃起器脊柱平面阻塞 (ESPB) 为腹腔镜瘤切除术后的术后疼痛管理提供了外周阻塞的可行替代方案,证明了可比的安全性和有效性.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 手术后的疼痛仍然是一个挑战nephrectomy后,即使有腹腔镜技术.
- 传统的外周支柱阻塞带有风险,需要对更安全的替代品进行调查.
- 勃起器脊柱平面块 (ESPB) 已成为区域麻醉的潜在选择.
研究的目的:
- 为了比较连续超声波导向ESPB与外周阻塞的止痛效果.
- 为了评估手术后疼痛管理策略在进行腹腔镜切除术的患者.
主要方法:
- 一项前性,随机对照性研究,涉及60名接受选择性腹腔镜切除术的患者.
- 患者被随机分为两组:一组接受ESPB,另一组接受外周支柱阻塞.
- 在两个组中,手术后的疼痛缓解维持了24小时,使用了levobupivacaine加上fentanyl输液.
主要成果:
- 在ESPB组 (9.50小时) 和外围注射组 (4.67小时) 中,首次救助止痛的时间较长,尽管在统计学上并不显著.
- 在ESPB组 (100毫克) 的累积救助止痛剂剂量较低,相比于外围注射组 (166.33毫克).
- 疼痛评分,血液动力稳定性和恢复参数在各组之间是相似的.
结论:
- 勃起器脊柱平面阻塞 (ESPB) 是腹腔镜瘤切除术后术后止痛的外周阻塞的合适替代品.
- ESPB在管理方便方面具有优势,并提供单边封锁.
- 这种技术有望改善切除手术患者的治疗结果.
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