• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

单次注射臂丛神经阻滞下行上肢手术后首日使用解救镇痛药的危险因素：一项930例病例的回顾性研究

Risk factors for rescue analgesic use on the first postoperative day after upper limb surgery performed under single-injection brachial plexus block: a retrospective study of 930 cases.

作者信息

Watanabe Tatsunori, Moriya Koji, Yoda Takuya, Tsubokawa Naoto, Petrenko Andrey B, Baba Hiroshi

机构信息

1Division of Anesthesiology, Niigata University Graduate School of Medical and Dental Sciences, 1-754 Asahimachi-dori, Chuo-ku, Niigata, 951-8520 Japan.

Niigata Hand Surgery Foundation, Seiro, Japan.

出版信息

JA Clin Rep. 2017;3(1):39. doi: 10.1186/s40981-017-0110-9. Epub 2017 Jul 27.

DOI:10.1186/s40981-017-0110-9
PMID:29457083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5804622/
Abstract

BACKGROUND

Postoperative pain management after upper limb surgery is important for preventing adverse events that can prolong hospital stay and cause readmission. This study aimed to identify the risk factors associated with rescue analgesic use on the first postoperative day after upper limb surgery performed under single-injection brachial plexus block (BPB).

FINDINGS

We retrospectively analyzed records from 930 patients who underwent upper limb surgery under a single-injection BPB. Postoperatively, patients were administered oral loxoprofen regularly and rescue analgesics when analgesia was insufficient. We assessed the association between patient, surgical information, and rescue analgesic use on the first day after surgery (from 7:00 PM on the day of surgery to 7:00 AM on the first postoperative day), using a logistic regression model. Multivariate analysis revealed a significant association between rescue analgesic use and bone surgery, in particular, osteotomy, ligament repair and reconstruction, osteosynthesis, treatment for an amputated digit, and surgical duration.

CONCLUSION

Bone surgery (osteotomy, ligament repair and reconstruction, osteosynthesis, treatment for an amputated digit) and a longer operative time were risk factors for rescue analgesic use for treating postoperative pain after upper limb surgery performed under single-injection BPB.

摘要

背景

上肢手术后的疼痛管理对于预防可能延长住院时间并导致再次入院的不良事件很重要。本研究旨在确定在单次注射臂丛神经阻滞（BPB）下进行上肢手术后第一天使用补救镇痛药相关的风险因素。

研究结果

我们回顾性分析了930例在单次注射BPB下接受上肢手术患者的记录。术后，患者定期口服洛索洛芬，镇痛效果不足时给予补救镇痛药。我们使用逻辑回归模型评估了患者、手术信息与术后第一天（从手术当天晚上7:00至术后第一天早上7:00）补救镇痛药使用之间的关联。多变量分析显示，补救镇痛药使用与骨手术，特别是截骨术、韧带修复与重建、骨固定术、断指治疗以及手术持续时间之间存在显著关联。

结论

骨手术（截骨术、韧带修复与重建、骨固定术、断指治疗）和较长的手术时间是在单次注射BPB下进行上肢手术后使用补救镇痛药治疗术后疼痛的风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e92e/6967247/25515bf3c15f/40981_2017_110_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e92e/6967247/7329266a3832/40981_2017_110_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e92e/6967247/25515bf3c15f/40981_2017_110_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e92e/6967247/7329266a3832/40981_2017_110_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e92e/6967247/25515bf3c15f/40981_2017_110_Fig2_HTML.jpg

相似文献

1
Risk factors for rescue analgesic use on the first postoperative day after upper limb surgery performed under single-injection brachial plexus block: a retrospective study of 930 cases.单次注射臂丛神经阻滞下行上肢手术后首日使用解救镇痛药的危险因素：一项930例病例的回顾性研究
JA Clin Rep. 2017;3(1):39. doi: 10.1186/s40981-017-0110-9. Epub 2017 Jul 27.
2
Particulate-steroid betamethasone added to ropivacaine in interscalene brachial plexus block for arthroscopic rotator cuff repair improves postoperative analgesia.在用于关节镜下肩袖修复的肌间沟臂丛神经阻滞中，将微粒化类固醇倍他米松添加到罗哌卡因中可改善术后镇痛效果。
BMC Anesthesiol. 2016 Oct 4;16(1):84. doi: 10.1186/s12871-016-0251-9.
3
Effects of catheter orifice configuration (triple-hole versus end-hole) in continuous infraclavicular brachial plexus block on analgesia after upper limb surgery.导管开口构型（三孔与端孔）在连续锁骨下臂丛神经阻滞中对上肢手术后镇痛的影响。
Ulus Travma Acil Cerrahi Derg. 2020 Jul;26(4):620-627. doi: 10.14744/tjtes.2020.03302.
4
Combination of adenosine with prilocaine and lignocaine for brachial plexus block does not prolong postoperative analgesia.
Anaesth Intensive Care. 2003 Dec;31(6):648-52. doi: 10.1177/0310057X0303100606.
5
Non-stimulation needle with external indwelling cannula for brachial plexus block and pain management in 62 patients undergoing upper-limb surgery.用于臂丛神经阻滞和 62 例上肢手术患者疼痛管理的带外留置套管的非刺激针。
Int J Med Sci. 2012;9(9):766-71. doi: 10.7150/ijms.5007. Epub 2012 Oct 24.
6
Perioperative intravenous adenosine infusion to extend postoperative analgesia in brachial plexus block.
Eur J Anaesthesiol. 2003 Nov;20(11):916-9. doi: 10.1017/s0265021503001479.
7
Perineural Nalbuphine in Ambulatory Upper Limb Surgery: A Comparison of Effects of Levobupivacaine with and without Nalbuphine as Adjuvant in Supraclavicular Brachial Plexus Block - A Prospective, Double-blinded, Randomized Controlled Study.门诊上肢手术中神经周围使用纳布啡：左旋布比卡因联合与不联合纳布啡作为辅助剂在锁骨上臂丛神经阻滞中的效果比较——一项前瞻性、双盲、随机对照研究
Anesth Essays Res. 2017 Jan-Mar;11(1):40-46. doi: 10.4103/0259-1162.200225.
8
Midazolam with bupivacaine for improving analgesia quality in brachial plexus block for upper limb surgeries.咪达唑仑联合布比卡因用于改善上肢手术臂丛神经阻滞的镇痛质量。
J Coll Physicians Surg Pak. 2008 Nov;18(11):674-8.
9
Comparison of ultrasound-guided costoclavicular and supraclavicular brachial plexus block for upper extremity surgery: a propensity score matched retrospective cohort study.超声引导锁骨下入路与锁骨上入路臂丛神经阻滞用于上肢手术的比较：倾向评分匹配回顾性队列研究。
Ann Palliat Med. 2021 Jan;10(1):454-461. doi: 10.21037/apm-20-2376. Epub 2021 Jan 14.
10
BRACHIAL PLEXUS BLOCK FOR UPPER LIMB PROCEDURES: EXPERIENCE AT THE UNIVERSITY OF UYO TEACHING HOSPITAL, UYO, AKWA IBOM STATE, NIGERIA.用于上肢手术的臂丛神经阻滞：尼日利亚阿夸伊博姆州乌约市乌约大学教学医院的经验
J West Afr Coll Surg. 2015 Jan-Mar;5(1):76-87.

引用本文的文献

1
Clinical application of ultrasound-guided selective proximal and distal brachial plexus block in rapid rehabilitation surgery for hand trauma.超声引导下选择性臂丛神经近端和远端阻滞在手部创伤快速康复手术中的临床应用
World J Clin Cases. 2020 Jun 6;8(11):2137-2143. doi: 10.12998/wjcc.v8.i11.2137.
2
Quadratus lumborum block type 2 for pedicle groin flap analgesia: a case report.用于带蒂腹股沟皮瓣镇痛的2型腰方肌阻滞：1例病例报告
JA Clin Rep. 2020 May 17;6(1):36. doi: 10.1186/s40981-020-00342-7.
3
Effect of remifentanil on postoperative nausea and vomiting: a randomized pilot study.

本文引用的文献

1
Postoperative pain control.术后疼痛控制
Surg Clin North Am. 2015 Apr;95(2):301-18. doi: 10.1016/j.suc.2014.10.002. Epub 2015 Jan 24.
2
Tissue injury and related mediators of pain exacerbation.组织损伤及相关疼痛加剧介质。
Curr Neuropharmacol. 2013 Dec;11(6):592-7. doi: 10.2174/1570159X11311060003.
3
Differential axillary nerve block for hand or forearm soft-tissue surgery.用于手部或前臂软组织手术的腋神经阻滞差异法
瑞芬太尼对术后恶心呕吐的影响：一项随机先导研究。
J Anesth. 2018 Oct;32(5):781-785. doi: 10.1007/s00540-018-2550-4. Epub 2018 Sep 11.
J Anesth. 2014 Aug;28(4):549-53. doi: 10.1007/s00540-013-1773-7. Epub 2013 Dec 28.
4
Gender-related difference in postoperative pain after laparoscopic Roux-En-Y gastric bypass in morbidly obese patients.腹腔镜 Roux-en-Y 胃旁路手术后肥胖患者术后疼痛的性别差异。
Obes Surg. 2013 Nov;23(11):1880-4. doi: 10.1007/s11695-013-0996-x.
5
Continuous femoral versus epidural block for attainment of 120° knee flexion after total knee arthroplasty: a randomized controlled trial.连续股神经阻滞与连续硬膜外阻滞在全膝关节置换术后屈膝 120°的比较：一项随机对照试验。
J Arthroplasty. 2013 May;28(5):807-14. doi: 10.1016/j.arth.2012.09.013. Epub 2013 Feb 22.
6
Pain intensity on the first day after surgery: a prospective cohort study comparing 179 surgical procedures.术后第一天的疼痛强度：比较 179 种手术的前瞻性队列研究。
Anesthesiology. 2013 Apr;118(4):934-44. doi: 10.1097/ALN.0b013e31828866b3.
7
Sex-related differences of patient-controlled epidural analgesia for postoperative pain.患者自控硬膜外镇痛用于术后疼痛的性别差异。
Pain. 2012 Jan;153(1):238-244. doi: 10.1016/j.pain.2011.10.022. Epub 2011 Nov 21.
8
Mouse model of fracture pain.骨折疼痛的小鼠模型
Anesthesiology. 2008 Mar;108(3):467-72. doi: 10.1097/ALN.0b013e3181649333.
9
Does continuous peripheral nerve block provide superior pain control to opioids? A meta-analysis.持续外周神经阻滞在疼痛控制方面是否优于阿片类药物？一项荟萃分析。
Anesth Analg. 2006 Jan;102(1):248-57. doi: 10.1213/01.ANE.0000181289.09675.7D.
10
The effect of using a tourniquet on the intensity of postoperative pain in forearm fractures. A randomized study in 32 surgically treated patients.使用止血带对前臂骨折术后疼痛强度的影响。一项针对32例接受手术治疗患者的随机研究。
Int Orthop. 1998;22(6):369-73. doi: 10.1007/s002640050280.