直接可视化引导的PENG阻断 (围囊神经组):优化关节整形术中的术后止痛
Maria Bautista1,2, Jacobo Triviño-Arias3, María Camila Gómez-Ayala2,3
1Servicio de Ortopedia y Traumatología, Fundación Valle del Lili, Valle del Cauca, Cali, Colombia.
Journal of orthopaedic surgery and research
|February 7, 2026
概括
直接可视化引导的周囊神经群 (PENG-DV) 阻断在全关节整形术 (THA) 后提供有效的疼痛控制. 这种技术有助于减少阿片类药物使用,并促进早期患者动员.
科学领域:
- 麻醉学 麻醉学
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
背景情况:
- 环囊神经组 (PENG) 阻断在整部关节整形术 (THA) 的术后疼痛管理中有效.
- 目前的PENG区块实现需要专门的设备和专业知识,限制可重现性.
- 直接可视化引导的PENG块 (PENG-DV) 是为了解决这些局限性而开发的.
研究的目的:
- 描述直接可视化引导PENG块 (PENG-DV) 的技术.
- 评估PENG-DV对THA患者术后疼痛控制的结果.
主要方法:
- 对THA患者进行直接前置方法 (DAA) 的回顾性队列研究.
- 患者接受了PENG-DV阻断剂,作为多模式止痛方案的一部分.
- 评估人口统计学变量,疼痛评分 (VAS),阿片类药物消费,肌肉力量和24小时内行走.
主要成果:
- 在128名患者中分析了112名患者 (60.7%为女性,平均年龄为63岁).
- 手术后12小时VAS中位数为2,手术后24小时为3.
- 83.9%的患者在术后第一天走路,其中54.5%需要阿片类药物救援 (平均相当于10毫克吗啡).
结论:
- 通过DAA进行THA的PENG-DV是有效的术后疼痛控制的有希望的策略.
- 这种技术作为多式联络方式的一部分,可以减少阿片类药物消费.
- 在THA患者中,PENG-DV促进了早期动员.
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