Eur J Anaesth:热变色指甲油可作为预测锁骨下臂丛神经阻滞成功的新指标:前瞻性队列研究

2020-01-28 anesthGH “罂粟花”微信号

周围神经阻滞后测量皮肤温度可作为一种简便、客观的方法来预测阻滞成功与否。热变色指甲油是很受欢迎的化妆品,特别是在年轻女性中。指甲油的颜色变化是基于温度变化时的热变色反应。本研究旨在验证锁骨下臂丛神经阻滞(IBPB)的成功与否可通过热色指甲油的颜色变化来预测这一假设,而这种颜色变化取决于皮肤温度的变化。

背景与目的

周围神经阻滞后测量皮肤温度可作为一种简便、客观的方法来预测阻滞成功与否。热变色指甲油是很受欢迎的化妆品,特别是在年轻女性中。指甲油的颜色变化是基于温度变化时的热变色反应。本研究旨在验证锁骨下臂丛神经阻滞(IBPB)的成功与否可通过热色指甲油的颜色变化来预测这一假设,而这种颜色变化取决于皮肤温度的变化。

方  法

我们共收集了50例施行IBPB前臂、手腕或手部手术的患者。所有患者在阻滞前均于双手指甲上涂抹热变色指甲油,并分别于涂抹完成后即刻和神经阻滞后30min拍摄双手指甲油颜色情况。观察者对每位患者的数码照片进行评估。为了评价指甲油颜色变化对预测IBPB成功的有效性,我们对其敏感性、特异性、阳性预测值、阴性预测值以及阳性和阴性似然比进行了评估。

结 果

热变色指甲油颜色变化预测IBPB成功的阳性预测值为96%(95%CI:90~98),灵敏度为94%(95%CI:87~97)。评估观察者间一致性的Fleisskappa值基本一致(0.76,95%CI:0.59~ 0.93)。

结 论

本研究表明,热变色指甲油的颜色变化是预测IBPB阻滞成功的一个有效且可靠的指标。

原始出处:

KavakliAS,EnginarF,Arslan U, et,al.Thermochromic nail polish as a novel indicator to predict infraclavicular brachial plexus block success A prospectivecohort study.[J]. Eur J Anaesthesiol 2019Dec;36(12)DOI:10.1097/EJA.00000000000 01091

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    2020-11-06 ycmayy
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    2020-04-20 AspirantSuo
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    2020-01-30 slcumt
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