{"title":"加强术后疼痛管理：评估超声引导星状神经节阻滞对动静脉瘘手术的影响。","authors":"Hashemian Morteza, Bahaadini Azadeh, Aflatoonian Behnaz, Vehedian Mehrdad, Nozarinia Mostafa, Shahdadi Hamed, Abolhasani Zadeh Firoozeh","doi":"10.1111/hdi.13220","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>The effectiveness of stellate ganglion block in managing acute postoperative pain remains uncertain due to limited high-quality evidence. This study evaluates the impact of stellate ganglion block on acute pain following arteriovenous fistula surgery.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A randomized controlled clinical trial was conducted in the Surgery Department of Bahonar and Shafa Hospitals at Kerman University of Medical Sciences, Iran. Patients undergoing arteriovenous fistula surgery were randomly assigned to either the intervention group, which received an ultrasound-guided stellate ganglion block with 5 mL of 5% lidocaine, or the control group, which received no intervention. A total of 60 patients were selected based on age and gender similarity. Pain levels were assessed using the visual analog scale immediately after surgery and at 6 and 12 h postoperatively.</p>\n </section>\n \n <section>\n \n <h3> Findings</h3>\n \n <p>Pain scores differed significantly between the two groups at all time points (<i>p</i> ≤ 0.05). The intervention group reported lower pain levels at 6 and 12 h postoperatively compared to the control group. Repeated measures analysis confirmed a significant reduction in pain over time in both groups (<i>p</i> ≤ 0.05), with a more pronounced decrease in the intervention group (<i>p</i> ≤ 0.05).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Preoperative stellate ganglion block effectively reduces acute postoperative pain following arteriovenous fistula surgery. However, its effects beyond the 12-h postoperative period remain unknown. Further research is needed to evaluate its long-term impact.</p>\n </section>\n </div>","PeriodicalId":12815,"journal":{"name":"Hemodialysis International","volume":"29 3","pages":"303-309"},"PeriodicalIF":1.2000,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Enhancing Postoperative Pain Management: Assessing the Influence of Ultrasound-Guided Stellate Ganglion Block on Arteriovenous Fistula Surgery\",\"authors\":\"Hashemian Morteza, Bahaadini Azadeh, Aflatoonian Behnaz, Vehedian Mehrdad, Nozarinia Mostafa, Shahdadi Hamed, Abolhasani Zadeh Firoozeh\",\"doi\":\"10.1111/hdi.13220\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Introduction</h3>\\n \\n <p>The effectiveness of stellate ganglion block in managing acute postoperative pain remains uncertain due to limited high-quality evidence. 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引用次数: 0
摘要
导语：由于有限的高质量证据，星状神经节阻滞治疗急性术后疼痛的有效性仍然不确定。本研究评估星状神经节阻滞对动静脉瘘术后急性疼痛的影响。方法：在伊朗克尔曼医科大学Bahonar和Shafa医院外科进行随机对照临床试验。行动静脉瘘手术的患者被随机分为干预组和对照组，干预组接受5 mL 5%利多卡因超声引导下的星状神经节阻滞，对照组不接受干预。根据年龄和性别相似性，共选择60例患者。术后即刻及术后6、12小时采用视觉模拟量表评估疼痛水平。结果：两组患者各时间点疼痛评分差异均有统计学意义（p≤0.05）。与对照组相比，干预组术后6和12小时的疼痛水平较低。重复测量分析证实两组疼痛随时间的推移均有显著减轻（p≤0.05），干预组疼痛减轻更为明显（p≤0.05）。结论：术前星状神经节阻滞可有效减轻动静脉瘘术后急性疼痛。然而，其在术后12小时后的效果尚不清楚。需要进一步的研究来评估其长期影响。
Enhancing Postoperative Pain Management: Assessing the Influence of Ultrasound-Guided Stellate Ganglion Block on Arteriovenous Fistula Surgery
Introduction
The effectiveness of stellate ganglion block in managing acute postoperative pain remains uncertain due to limited high-quality evidence. This study evaluates the impact of stellate ganglion block on acute pain following arteriovenous fistula surgery.
Methods
A randomized controlled clinical trial was conducted in the Surgery Department of Bahonar and Shafa Hospitals at Kerman University of Medical Sciences, Iran. Patients undergoing arteriovenous fistula surgery were randomly assigned to either the intervention group, which received an ultrasound-guided stellate ganglion block with 5 mL of 5% lidocaine, or the control group, which received no intervention. A total of 60 patients were selected based on age and gender similarity. Pain levels were assessed using the visual analog scale immediately after surgery and at 6 and 12 h postoperatively.
Findings
Pain scores differed significantly between the two groups at all time points (p ≤ 0.05). The intervention group reported lower pain levels at 6 and 12 h postoperatively compared to the control group. Repeated measures analysis confirmed a significant reduction in pain over time in both groups (p ≤ 0.05), with a more pronounced decrease in the intervention group (p ≤ 0.05).
Conclusion
Preoperative stellate ganglion block effectively reduces acute postoperative pain following arteriovenous fistula surgery. However, its effects beyond the 12-h postoperative period remain unknown. Further research is needed to evaluate its long-term impact.
期刊介绍：
Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis.
The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.
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