勃起器脊柱平面块和胸部准脊椎块在胸腔镜叶片切除术中的应用
Xiaoqiong Yan1, Qin Wang1, Li Yang1
1Department of Anesthesia and Perioperative Medicine, General Hospital of Ningxia Medical University, Yinchuan, China.
Frontiers in medicine
|February 13, 2026
概括
胸部副脊椎阻塞 (TPVB) 和勃起脊柱平面阻塞 (ESPB) 有效地管理胸腔镜带切除术后的疼痛. 与ESPB相比,TPVB提供了卓越的早期疼痛缓解和更快的恢复.
科学领域:
- 麻醉学 麻醉学
- 胸部外科手术 胸部外科手术
- 疼痛管理 疼痛管理
背景情况:
- 胸腔镜叶切除术后的术后疼痛可能会导致并发症.
- 有效的疼痛管理策略对于患者的康复和减少压力反应至关重要.
研究的目的:
- 为了比较勃起器脊柱平面阻断 (ESPB) 和胸部副脊柱阻断 (TPVB) 在经过胸腔镜叶切除术的患者的外科手术期间疼痛管理的疗效.
- 评估它们对术后疼痛评分,血液动力学稳定性和恢复参数的影响.
主要方法:
- 一项随机对照试验,涉及99名预定进行胸腔镜叶切除术的患者.
- 患者被分配到对照组,ESPB组或TPVB组.
- 主要结局包括多个术后时间点的视觉模拟尺度 (VAS) 评分;次要结局包括血液动力学参数,阿片类药物消耗和恢复指标.
主要成果:
- 与对照组相比,ESPB和TPVB都显著降低了VAS得分,TPVB显示出更高的疗效.
- 在手术后,TPVB组表现出更好的血液动力稳定性和更低的心率和平均动脉压.
- 此外,TPVB还导致了阿片类药物消费的减少,更早的出行,更短的住院时间,以及减少排水管的持续时间.
结论:
- 无论是TPVB还是ESPB,都有效地管理术后疼痛,减少压力,加快胸腔镜叶切除术后的恢复.
- TPVB在早期止痛和血液动力学控制方面具有优势,使其成为潜在的优越选择.
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