临床试验研究方案:前瞻性盲法随机对照临床试验方案:评估超声引导下腹横肌平面阻滞对腹腔镜供体肝切除术术后镇痛和恢复质量的疗效。

IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY
Journal of Pain Research Pub Date : 2024-10-22 eCollection Date: 2024-01-01 DOI:10.2147/JPR.S476966
Shen Liu, Bijia Song, Liang Zhang, Xiuliang Li, Lingli Cui
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引用次数: 0

摘要

简介:肝移植被认为是治疗终末期肝病的有效方法:肝移植被认为是治疗终末期肝病的有效方法。腹腔镜供体肝切除术(LDH)已成为一种新的标准手术。将供体的疼痛降至最低非常重要。良好的术后镇痛可以减少术后并发症的发生,促进供体早日康复。超声引导下腹横肌平面(TAP)阻滞可为肝脏捐献者提供有效的镇痛,并减少术后阿片类药物的消耗。本研究旨在利用超声引导下的腹横肌阻滞治疗 LDH,改善供体术后镇痛,同时减少阿片类药物的消耗,提高患者康复质量:本研究是一项前瞻性盲法随机对照临床试验,计划接受腹腔镜肝部分切除术的患者(活体肝脏捐献者)将按1:1的比例接受局部浸润麻醉或TAP阻滞。这项研究将招募 80 名患者。主要结果是术后 24 小时内阿片类药物的用量:本试验已获得中国首都医科大学附属北京友谊医院机构审查委员会的批准。本试验研究方案于 2023 年 5 月 8 日获得批准。试验注册号:ChiCTR2300071694:试验注册号:ChiCTR2300071694。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Trial Study Protocol: A Prospective Blinded, Randomized, Controlled Clinical Trial Protocol to Assess the Efficacy of Ultrasound-Guided Transversus Abdominis Plane Block on Postoperative Analgesia and Recovery Quality in Laparoscopic Donor Hepatectomy.

Introduction: Liver transplantation is considered an effective treatment for end-stage liver disease. Laparoscopic donor hepatectomy (LDH) has become a new standard procedure. And it is important to minimize the pain of the donor. Good postoperative analgesia can reduce the occurrence of postoperative complications and promote the early recovery of the donor. Ultrasound-guided transversus abdominis plane (TAP) block can provide effective analgesia for liver donors and reduce postoperative opioid consumption. This study aims to use ultrasound-guided TAP block for LDH to improve postoperative analgesia for donors while reducing opioid consumption and improving patient rehabilitation quality.

Methods/analysis: This study is a prospective blinded, randomized, controlled clinical trial with a concealed allocation of patients (living liver donors) scheduled to receive laparoscopic partial hepatectomy 1:1 to receive local infiltration anesthesia or TAP block. This study will recruit a total of 80 patients. The primary outcome is the dosage of opioids within 24 hours after surgery.

Ethics and dissemination: This trial has been approved by the Institutional Review Board of Beijing Friendship Hospital of China Capital University. This trial study protocol was approved on 8 May 2023. The trial will start recruiting patients after being registered on the Chinese Clinical Trial Registry.

Trial registration number: ChiCTR2300071694.

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来源期刊
Journal of Pain Research
Journal of Pain Research CLINICAL NEUROLOGY-
CiteScore
4.50
自引率
3.70%
发文量
411
审稿时长
16 weeks
期刊介绍: Journal of Pain Research is an international, peer-reviewed, open access journal that welcomes laboratory and clinical findings in the fields of pain research and the prevention and management of pain. Original research, reviews, symposium reports, hypothesis formation and commentaries are all considered for publication. Additionally, the journal now welcomes the submission of pain-policy-related editorials and commentaries, particularly in regard to ethical, regulatory, forensic, and other legal issues in pain medicine, and to the education of pain practitioners and researchers.
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