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同仁医院 黄牛代挂号电话,需要特需号看这里急(24小时在线)

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本文由“小麻哥的日常”授权转载

摘要译文(供参考)

颈浅神经丛阻滞用于头颈外科的镇痛效果评价:一项比较随机对照研究

前言:

在本研究中,采用标志引导法评价了颈浅神经丛阻滞(SCPB)的优势。

我们的主要目的是通过观察全身镇痛药总剂量的术中和术后需求、视觉模拟量表(VAS)评分和镇痛总持续时间来评价SCPB在各种头颈部手术中的镇痛效果;还观察了生命参数和相关围手术期并发症。

材料和方法:

使用MedCalc软件v.19.5.1(MedCalc软件,Ostend,Belgium)在12小时通过获取参数疼痛评分计算样本量,两组之间的平均差异为3±3.5分,80%把握度和95%置信区间(CI);每组样本量为21。

ASA I、II和III组各有30名患者接受下颌、鼓乳突和锁骨手术。

A组为全身麻醉加全身镇痛,B组为全身麻醉加SCPB,根据手术部位,每侧注射0.25%布比卡因10ml,观察VAS评分、24h术中和术后镇痛需求、首次需药推注时间及围手术期并发症。

结果:

A组术中芬太尼需要量为

97.5±13.75μg,

B组为70.16±13.09μg,

A组术后对乙酰氨基酚注射需要量(2566.66±504mg)也显著高于B组(833.33±874.28mg)。

与A组(122.0±50.88min)相比,B组的镇痛总持续时间((1191.33±375.36 min)显著更长,p值<0.0001。

结论:

SCPB通过减少术中和术后全身镇痛需求及其相关副作用提供了更好的围手术期镇痛,在各种头颈部手术中没有显著的围手术期并发症。

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原文摘要

Evaluating the Analgesic Efficacy of Superficial Cervical Plexus Block for Head and Neck Surgeries: A Comparative Randomized Control Study

Introduction: In the present study, the advantages of superficial cervical plexus block (SCPB) were evaluated using a landmarkguided method. Our primary aim was to evaluate the analgesic efficacy of SCPB in various head and neck surgeries by observing intra and postoperative requirements of the total dose of the systemic analgesic, visual analog scale (VAS) score, and the total duration of analgesia; vital parameters and associated perioperative complications were also observed.

Materials and methods: Sample size was calculated using reference by taking the parameter pain score at 12 hours using MedCalc software v. 19.5.1 (MedCalc Software, Ostend, Belgium) with a mean difference of score 3±3.5 between two groups, 80% power, and 95% confidence interval (CI); the sample size for each group was 21. There were 30 patients in each group of ASA I, II, and III who were posted for mandibular, tympanomastoid and clavicular surgeries. Group A received general anaesthesia with systemic analgesia and Group B received general anaesthesia followed by SCPB with an injection of bupivacaine 0.25% 10ml on each side according to the site of surgery. VAS score, intra and postoperative analgesic requirement in 24 hours, time of first demand bolus, and perioperative complications were noted.

Results: Intraoperative fentanyl requirement for group A was 97.5±13.75 µg as compared to group B (70.16±13.09 µg), postoperative injection paracetamol requirement was also significantly higher in group A (2566.66±504 mg) as compared to group B (833.33±874.28 mg). The total duration of analgesia was significantly higher in Group B (1191.33±375.36 min) as compared to Group A (122.0±50.88 min) with a pvalue <0.0001. No significant complications were noted in any patient.

Conclusion: SCPB provides better perioperative analgesia by decreasing intraoperative as well as postoperative systemic analgesic requirements and their associated side effects, with no significant perioperative complications in various head and neck region surgeries.

Keywords: head and neck region; landmarks; perioperative; scpb; superiority.

免责声明:

本公众平台所刊载原创或转载内容不代表米勒之声的观点或立场。文中所涉及药物使用、疾病诊疗等内容仅供医学专业人士参考。

END

编辑:MiLu.米鹭

wWW.iI35.CoM

校对:Michel.米萱

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