Efficacy comparison of single-dose thoracic epidural analgesia with morphine and erector spinae plane block for open thoracotomy analgesia.

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Gaceta medica de Mexico Pub Date : 2025-01-01 DOI:10.24875/GMM.24000404

Fatma Acil, Andaç Dedeoğlu, Okan Andıç, Zeki Korhan, Ahmet Sızlanan, Atilla Durkan, Hülya Tosun-Söner, Osman Uzundere, Sedat Kaya, Cem Kıvılcım-Kaçar, Erhan Gökçek

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引用次数: 0

Abstract

Backgound: Postoperative pain after thoracotomy can be severe.

Objective: To assess whether low-dose morphine-assisted thoracic epidural analgesia (TEA) reduces pain (as measured by the visual analogue scale - VAS) and opioid consumption more than erector spinae plane block (ESP) in patients after thoracotomy.

Material and methods: 140 patients scheduled for elective thoracotomy (69 with TEA and 71 with ESP) were evaluated. VAS scores, respiratory capacity, nausea, vomiting, pruritus and opioid consumption were recorded at different intervals after the operation (30 min, 2, 6, 12 and 24 hours).

Results: Patients with TEA had significantly lower VAS scores in all postoperative measurements compared to the ESP group (p < 0.001). Respiratory capacity was also higher in the TEA group (p < 0.001). Postoperative opioid consumption was lower in the TEA group (p < 0.001), although there were no differences in intraoperative consumption (p = 1).

Conclusion: Thoracic epidural analgesia with low-dose morphine improves long-term postoperative pain control compared with ESP block.

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吗啡单剂量硬膜外镇痛与竖脊肌平面阻滞用于开胸镇痛的疗效比较。

背景：开胸术后疼痛可能很严重。目的：评价低剂量吗啡辅助胸廓硬膜外镇痛（TEA）是否比直立脊柱平面阻滞（ESP）更能减轻开胸术后患者的疼痛（以视觉模拟量表VAS衡量）和阿片类药物的消耗。材料与方法：对140例择期开胸患者（TEA 69例，ESP 71例）进行评价。术后不同时间间隔（30 min、2、6、12、24 h）分别记录VAS评分、呼吸能力、恶心、呕吐、瘙痒、阿片类药物消耗情况。结果：与ESP组相比，TEA组患者术后VAS评分均显著降低（p < 0.001）。TEA组呼吸量也较高（p < 0.001）。TEA组术后阿片类药物用量较低（p < 0.001），术中用量无差异（p = 1）。结论：与ESP阻滞相比，低剂量吗啡胸段硬膜外镇痛能改善术后远期疼痛控制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gaceta medica de Mexico 医学-医学：内科

CiteScore

1.00

自引率

0.00%

发文量

216

审稿时长

6-12 weeks

期刊介绍： Gaceta Médica de México México is the official scientific journal of the Academia Nacional de Medicina de México, A.C. Its goal is to contribute to health professionals by publishing the most relevant progress both in research and clinical practice. Gaceta Médica de México is a bimonthly peer reviewed journal, published both in paper and online in open access, both in Spanish and English. It has a brilliant editorial board formed by national and international experts.