Health Sciences University Diyarbakir Gazi Yasargil Research and Education Hospital, Department of Anaesthesiolgy and Reanimation, Diyarbakir, Turkey.
Dicle University, Faculty of Medicine, Department of Otorhinolaryngology, Diyarbakir, Turkey.
Braz J Otorhinolaryngol. 2024 Mar-Apr;90(2):101373. doi: 10.1016/j.bjorl.2023.101373. Epub 2023 Dec 2.
We aimed to investigate the effect of bilateral sphenopalatine ganglion blockade (SPGB) on the main postoperative complications in septorhinoplasty operations.
In this randomized, controlled, prospective study, 80 cases planned for Septorhinoplasty operations under general anesthesia were included in the study. The cases were divided into two groups; SPGB was performed with 2 mL of 0.25% bupivacaine bilaterally 15 min before the end of the operation in the SPGB group (Group S, n = 40). In the control group (Group C, n = 40), 2 mL of 0.9% NaCl solution was applied into both SPG areas. In the recovery unit after the operation; the pain and analgesic needs of the patients at 0, 2, 6 and 24 h were evaluated.
There was no statistically significant difference between the groups in terms of hemodynamic parameters (ASA, MBP, HR) (p > 0.05) All VAS values were statistically lower in Group S than in Group C (p < 0.05). In Group S, the need for analgesic medication was found in 5 cases between 0-2 h, whereas in Group C, this rate was found in 17 cases, and it was statistically significant (p < 0.05).
Bilateral SPGB application was determined to provide better analgesia in the early postoperative period compared to the control group, it was concluded that further studies are needed to say that there are significant effects on laryngospasm and nausea-vomiting.
2, degree of recommendation B.
我们旨在研究双侧蝶腭神经节阻滞（SPGB）对鼻中隔成形术术后主要并发症的影响。
在这项随机、对照、前瞻性研究中，纳入了 80 例计划在全身麻醉下进行鼻中隔成形术的患者。这些患者被分为两组；在手术结束前 15 分钟，双侧各注射 2ml0.25%布比卡因进行 SPGB（SPGB 组，S 组，n=40）。在对照组（C 组，n=40）中，将 2ml0.9%生理盐水应用于双侧 SPG 区。在手术后的恢复单元中；评估患者在 0、2、6 和 24 小时的疼痛和镇痛需求。
两组在血流动力学参数（ASA、MBP、HR）方面无统计学差异（p>0.05）。S 组的所有 VAS 值均明显低于 C 组（p<0.05）。在 S 组中，在 0-2 小时之间有 5 例需要镇痛药物，而在 C 组中，这一比例为 17 例，这具有统计学意义（p<0.05）。
与对照组相比，双侧 SPGB 应用在术后早期提供了更好的镇痛效果，我们得出结论，需要进一步的研究来证明它对喉痉挛和恶心呕吐有显著影响。
2，推荐等级 B。
