接受腹股沟手术的儿童接受尾部和腹部神经阻滞的镇痛效果:原创研究

IF 0.8 Q3 Pharmacology, Toxicology and Pharmaceutics Journal of Pharmacy and Bioallied Sciences Pub Date : 2024-06-07 DOI:10.4103/jpbs.jpbs_255_24
Preeti Jamwal, Ranjeet Kumar Mohanty, Ayesha Khan, Jagannath Mishra, H. D. Tiwari, Nihitha Koneru, Rahul Tiwari
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引用次数: 0

摘要

摘要 小儿腹股沟手术有时会引起相当大的术后疼痛,需要有效的镇痛剂。尾部神经阻滞和腹部神经阻滞可能有助于缓解这类人群的疼痛。目前还不确定这两种方法的成功率。 一项随机对照试验纳入了 70 名小儿腹股沟手术患者。除常规镇痛治疗外,参与者还被随机分配了腹部神经阻滞(ANB)或尾部神经阻滞(CNB)。使用标准化量表在不同时间测量术后疼痛。记录最初的镇痛抢救时间和剂量。使用统计学方法比较 CNB 和 ANB 的结果。 CNB 组和 ANB 组的人口统计学特征相似。在每个时间点,两组的镇痛剂用量和术后疼痛情况相似。两组均未发生严重不良事件。 CNB和ANB为小儿腹股沟手术提供的镇痛效果相当。两种方法都能很好地缓解疼痛,术后效果也相似。必须根据患者的特征和临床考虑因素来选择不同的神经阻滞方法。要确定每种方法的长期安全性和效果,还需要进行更多的研究。
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Analgesic Effect of Caudal and Abdominal Nerve Blocks among Children Undergoing Inguinal Surgeries: An Original Research
ABSTRACT Pediatric inguinal surgeries sometimes cause considerable post-operative pain that requires effective analgesics. Caudal and abdominal nerve blocks may help this population with pain. It is uncertain how successful they are compared. A randomized controlled trial included 70 pediatric inguinal surgery patients. An abdominal (ANB) or caudal nerve block (CNB) was randomly assigned to participants in addition to usual analgesic treatment. Post-operative pain was measured at various times using a standardized scale. The initial rescue analgesia time and dose were recorded. Statistics were used to compare CNB and ANB results. The CNB and ANB groups were demographically similar. At every time point, the two groups’ analgesic usage and post-operative pain were similar. No serious adverse events occurred in either group. CNB and ANB provide equivalent analgesia for pediatric inguinal surgeries. Both approaches alleviate pain well and have similar post-operative effects. Individual nerve block approaches must be chosen based on patient features and clinical considerations. More research is needed to determine each procedure’s long-term safety and results.
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来源期刊
CiteScore
1.50
自引率
0.00%
发文量
275
审稿时长
34 weeks
期刊介绍: Journal of Pharmacy And Bioallied Sciences is a Quarterly multidisciplinary open access biomedical journal. Journal of Pharmacy And Bioallied Sciences is an international medium of interaction between scientist, academicians and industrial personnel’s.JPBS is now offial publication of OPUBS.
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