选择性神经阻滞联合肿胀麻醉
Selective Nerve Block Combined With Tumescent Anesthesia.
作者信息
Ceran Candemir, Aksam Berrak, Aksam Ersin, Demirseren Mustafa Erol
机构信息
Plastic, Reconstructive and Aesthetic Surgery Clinic, Yildirim Beyazit University Ataturk Training and Research Hospital, Ankara, Turkey.
Plastic, Reconstructive and Aesthetic Surgery Clinic, Turgutlu State Hospital, Manisa, Turkey.
出版信息
J Hand Surg Am. 2015 Dec;40(12):2339-44. doi: 10.1016/j.jhsa.2015.08.027. Epub 2015 Oct 30.
PURPOSE
To evaluate the effect of selective nerve blocks before tumescent anesthesia on the pain and anxiety levels of patients.
METHODS
A prospective study was performed with 80 patients. Forty consecutive patients received tumescent anesthesia, and 40 consecutive patients received selective nerve blocks followed by tumescent anesthesia. Patients filled out a questionnaire regarding their preoperative, intraoperative, and postoperative pain and anxiety levels. The results of the questionnaire were evaluated with an independent samples t test.
RESULTS
The 2 study groups showed similar distribution in age, sex, and diagnosis. No complications related to tumescent anesthesia or nerve blocks were observed. The group that received tumescent anesthesia with selective nerve blocks reported lower pain scores in anesthesia injections than the group that received tumescent anesthesia alone. The intraoperative and postoperative pain and anxiety levels between the groups were not different.
CONCLUSION
Tumescent anesthesia combined with selective nerve blocks in hand surgery decreased the pain associated with injections and increased patient satisfaction.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic I.
目的
评估肿胀麻醉前选择性神经阻滞对患者疼痛和焦虑水平的影响。
方法
对80例患者进行前瞻性研究。连续40例患者接受肿胀麻醉，连续40例患者接受选择性神经阻滞，随后进行肿胀麻醉。患者填写一份关于术前、术中和术后疼痛及焦虑水平的问卷。问卷结果采用独立样本t检验进行评估。
结果
两个研究组在年龄、性别和诊断方面分布相似。未观察到与肿胀麻醉或神经阻滞相关的并发症。接受选择性神经阻滞的肿胀麻醉组在麻醉注射时的疼痛评分低于仅接受肿胀麻醉的组。两组之间的术中和术后疼痛及焦虑水平无差异。
结论
手部手术中肿胀麻醉联合选择性神经阻滞可减轻注射相关疼痛，提高患者满意度。
研究类型/证据水平：治疗性I级。
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