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首页> 外文期刊>The Thoracic and cardiovascular surgeon >Bilateral Paravertebral Block versus Thoracic Epidural Analgesia for Pain Control Post-Cardiac Surgery: A Randomized Controlled Trial
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Bilateral Paravertebral Block versus Thoracic Epidural Analgesia for Pain Control Post-Cardiac Surgery: A Randomized Controlled Trial

机译：双侧椎间膜阻滞与胸腔硬膜外镇痛止药后心脏病手术：随机对照试验

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Background?Adequate pain control after cardiac surgery is essential. Paravertebral block is a simple technique and avoids the potential complications of epidural catheters. The objective of this study is to compare the effect of ultrasound-guided bilateral thoracic paravertebral block with thoracic epidural block on pain control after cardiac surgery. Materials and Methods?Between March 2016 and 2017, 145 patients who had cardiac surgery through median sternotomy were randomized by stratified blocked randomization into two groups. Group I (n?=?70 patients) had bilateral ultrasound-guided thoracic paravertebral block and Group II (n?=?75 patients) had thoracic epidural analgesia. The primary end point was the postoperative visual analogue scale (VAS). The duration of mechanical ventilation, intensive care unit (ICU), and hospital stay were the secondary end points. The study design is a randomized parallel superiority clinical trial. Results?Both groups had similar preoperative and operative characteristics. No significant difference in VAS measured immediately after endotracheal extubation then after 12, 24, and 48 hours between groups (p?=?0.45). Pain score significantly declined with the repeated measures (p?
机译：背景？心脏手术后足够的疼痛控制是必不可少的。椎旁块是一种简单的技术，避免硬膜外导管的潜在并发症。本研究的目的是比较超声引导的双侧胸膜椎板段与胸腔外膜块对心脏手术后疼痛对照的影响。材料和方法？2016年3月至2017年间，通过中位数胸骨切开术，145名患有心脏手术的患者通过分层阻断随机化随机分为两组。 I族（n？= 70名患者）有双边超声引导的胸椎椎板障碍和II组（n？= 75名患者）患有胸腔硬膜外镇痛。主要终点是术后视觉模拟量表（VAS）。机械通气，重症监护单元（ICU）和住院时间的持续时间是次要终点。该研究设计是随机的并行优势临床试验。结果？两组都具有相似的术前和手术特性。在子片拔管后立即测量的VAS没有显着差异，然后在组之间进行12,24和48小时（p？= 0.45）。重复措施（P？<0.001），疼痛评分显着下降，并且下降与治疗组无关。术后疼痛与糖尿病有显着相关（P？= 0.039）。六个患者（8.5％）患者（8.5％）需要额外剂量的吗啡，II组（4％）（p？= 0.30）。患者ICU患者显着较短ICU停留（P？= 0.005），尿潴留发生率降低（P？= 0.04）和呕吐（P？= 0.018）。在组之间的手术并发症中没有发现任何差异。结论？这种随机平行对照试验表明，与胸腔硬膜外镇痛相比，超声引导的椎旁块是缓解心脏病后手术的安全有效的方法。

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