PDF(Pubmed)
Abstract：
UNASSIGNED: Regional techniques in parotid surgeries include superficial cervical plexus block (SCPB) and auriculotemporal nerve (ATN) block, which can be used as an anesthetic technique for awake parotidectomy. This study aimed to evaluate the efficacy of cervical retrolaminar block (RLB) as an alternative to SCPB both, used in combination with auriculotemporal nerve (ATN) block, in parotid surgery.
UNASSIGNED: A total of 40 patients undergoing parotid surgery were prospectively randomized into either the SCPB group (n = 20) or the cervical RLB group (n = 20) using 20 ml of 0.25% bupivacaine plus 5 mcg\\mL epinephrine. Both were combined with ATN block using 5 ml of 0.25% bupivacaine plus 5 mcg\\mL epinephrine.
UNASSIGNED: The time to first request for analgesia was longer in the RLB group than the SCPB group. Total intra operative fentanyl consumption and post-operative pethidine consumption in the first 24h were lower in group RLB. All patients (n = 20) in the SCPB group required rescue analgesia using pethidine, while only 40% of patients required pethidine in the RLB group. Visual analog scale was lower in the RLB group from 2 to 24-h post-operatively, but it was associated with hypotension and longer block technique time occurred with RLB than SCPB. There was no significant difference in side effects except for 20% Horner\'s syndrome in the SCPB group.
UNASSIGNED: Cervical RLB is more effective analgesic technique than SCPB, as the cervical RLB showed longer time to first analgesic request, lower intraoperative anesthetic consumption, lower total post-operative pethidine consumption and lower VAS.
UNASSIGNED: A total of 40 patients undergoing parotid surgery were prospectively randomized into either the SCPB group (n = 20) or the cervical RLB group (n = 20) using 20 ml of 0.25% bupivacaine plus 5 mcg\\mL epinephrine. Both were combined with ATN block using 5 ml of 0.25% bupivacaine plus 5 mcg\\mL epinephrine.
UNASSIGNED: The time to first request for analgesia was longer in the RLB group than the SCPB group. Total intra operative fentanyl consumption and post-operative pethidine consumption in the first 24h were lower in group RLB. All patients (n = 20) in the SCPB group required rescue analgesia using pethidine, while only 40% of patients required pethidine in the RLB group. Visual analog scale was lower in the RLB group from 2 to 24-h post-operatively, but it was associated with hypotension and longer block technique time occurred with RLB than SCPB. There was no significant difference in side effects except for 20% Horner\'s syndrome in the SCPB group.
UNASSIGNED: Cervical RLB is more effective analgesic technique than SCPB, as the cervical RLB showed longer time to first analgesic request, lower intraoperative anesthetic consumption, lower total post-operative pethidine consumption and lower VAS.
摘要：
未经授权：腮腺手术中的区域技术包括浅颈丛阻滞（SCPB）和耳颞神经（ATN）阻滞，可用作清醒腮腺切除术的麻醉技术。本研究旨在评估颈椎椎板后阻滞（RLB）作为SCPB的替代方法的疗效。与耳颞神经（ATN）阻滞联合使用，腮腺手术.
UNASSIGNED：将40例接受腮腺手术的患者随机分为SCPB组（n=20）或宫颈RLB组（n=20），使用20ml0.25％布比卡因加5mcg/mL肾上腺素。两者均与使用5ml0.25％布比卡因加5mcg\\mL肾上腺素的ATN阻滞联合。
UNASSIGNED：与SCPB组相比，RLB组首次要求镇痛的时间更长。RLB组术中芬太尼总消耗量和术后24小时哌替啶消耗量较低。SCPB组的所有患者（n=20）需要使用哌替啶进行抢救镇痛，而RLB组只有40%的患者需要哌替啶。术后2至24小时，RLB组的视觉模拟评分较低，但与低血压相关,与SCPB相比,RLB发生的阻滞技术时间更长.在SCPB组中，除20％Horner's综合征外，副作用无明显差异。
UNASSIGNED：宫颈RLB是比SCPB更有效的镇痛技术，由于宫颈RLB显示出第一次镇痛请求的时间较长，降低术中麻醉消耗，术后哌替啶总消耗量较低，VAS较低。
UNASSIGNED：将40例接受腮腺手术的患者随机分为SCPB组（n=20）或宫颈RLB组（n=20），使用20ml0.25％布比卡因加5mcg/mL肾上腺素。两者均与使用5ml0.25％布比卡因加5mcg\\mL肾上腺素的ATN阻滞联合。
UNASSIGNED：与SCPB组相比，RLB组首次要求镇痛的时间更长。RLB组术中芬太尼总消耗量和术后24小时哌替啶消耗量较低。SCPB组的所有患者（n=20）需要使用哌替啶进行抢救镇痛，而RLB组只有40%的患者需要哌替啶。术后2至24小时，RLB组的视觉模拟评分较低，但与低血压相关,与SCPB相比,RLB发生的阻滞技术时间更长.在SCPB组中，除20％Horner's综合征外，副作用无明显差异。
UNASSIGNED：宫颈RLB是比SCPB更有效的镇痛技术，由于宫颈RLB显示出第一次镇痛请求的时间较长，降低术中麻醉消耗，术后哌替啶总消耗量较低，VAS较低。
