恒星性关节块对阻塞性睡眠呼吸暂停综合征患者手术后疼痛的影响:一项随机对照试验
Libin Zhao1, Xinyi Shen1, Yue Li1
1Department of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, People's Republic of China.
Journal of pain research
|February 27, 2026
概括
手术前的超声导向左星状关节阻塞 (SGB) 没有减少阻塞性睡眠呼吸暂停-呼吸暂停综合征 (OSAHS) 的uvulopalatopharyngoplasty (UPPP) 后的疼痛得分. 然而,SGB有效降低了手术期间的阿片类药物使用和术后的止痛药需求.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 睡眠医学 睡眠医学
背景情况:
- 阻塞性睡眠呼吸暂停-呼吸暂停综合征 (OSAHS) 显著影响患者的健康.
- 乌帕拉托法林戈普拉斯蒂 (UPPP) 是一种针对OSAHS的手术治疗方法.
- 在UPPP后有效的疼痛管理对于患者的康复至关重要.
研究的目的:
- 为了评估手术前超声导向左星状关节块 (SGB) 在治疗术后疼痛和阿片类药物消费方面的疗效.
- 评估SGB对接受OSAHSUPPP治疗的患者的影响.
主要方法:
- 一个随机对照试验,涉及60名计划接受UPPP的患者.
- 患者被分配到SGB组 (n=30) 或对照组 (n=30).
- 主要结局:术后疼痛强度 (VAS);次要结局:阿片类药物消费,PCA使用,血液动力学,并发症.
主要成果:
- 两组之间VAS得分或术后并发症没有显著差异.
- 在SGB组显示显著减少了手术内sufentanil剂量 (p<0.05).
- 术后患者控制止痛 (PCA) 压缩时间在SGB组显著降低 (p<0.05).
结论:
- 在接受UPPP的OSAHS患者中,手术前超声波引导的左侧SGB并没有显著降低手术后疼痛得分 (VAS).
- SGB有效降低了手术期间的阿片类药物使用和术后的止痛药需求.
- 在多模式止痛疗法中,SGB可能是一个有价值的辅助剂,以改善OSAHS患者的外科治疗结果.
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