Abstract：
Postoperative pain management after bariatric surgery is difficult due to different physiological properties and high sensitivity toward opioids in patients with obesity. It has been reported that erector spinae plane block (ESPB) contributes to postoperative analgesia when applied together with multimodal analgesia.
Eighty patients were randomized either bilateral ESPB (group E) each side or no block (group C). Our primary aim was to evaluate the effects of ESPB on the quality of recovery 24 h postoperatively in bariatric surgery by using 40-item Quality of Recovery-40 (QoR-40) questionnaire. Postoperative pain assessed using a numerical rating scale (NRS), time of additional analgesic requirement, analgesic consumption, side effects, sedation, mobilization time, and postoperative complications were evaluated as secondary outcomes.
Postoperative mean QoR-40 scores were found to be higher in group E (175.02 ± 11.25) than in group C (167.78 ± 18.59) at the postoperative 24th hour (P < 0.05). Pain scores at rest and during movement were higher in group C than in group E. At the postoperative 24th hour, NRS mean SD scores at rest for group C and group E were 3.25 ± 1.32 and 2.40 ± 0.96, respectively. NRS mean SD scores during movement for groups C and E were 3.88 ± 1.49 and 3.12 ± 1.30, respectively. The total amount of tramadol consumed in the first 24 h in group C and group E were mean SD: 86.40 ± 69.60 and 40.00 ± 46.96, respectively; P < 0.05.
ESPB improved postoperative quality of recovery, reduced NRS scores, and total analgesic consumption in patients with obesity undergoing bariatric surgery.
NCT05020379.
Eighty patients were randomized either bilateral ESPB (group E) each side or no block (group C). Our primary aim was to evaluate the effects of ESPB on the quality of recovery 24 h postoperatively in bariatric surgery by using 40-item Quality of Recovery-40 (QoR-40) questionnaire. Postoperative pain assessed using a numerical rating scale (NRS), time of additional analgesic requirement, analgesic consumption, side effects, sedation, mobilization time, and postoperative complications were evaluated as secondary outcomes.
Postoperative mean QoR-40 scores were found to be higher in group E (175.02 ± 11.25) than in group C (167.78 ± 18.59) at the postoperative 24th hour (P < 0.05). Pain scores at rest and during movement were higher in group C than in group E. At the postoperative 24th hour, NRS mean SD scores at rest for group C and group E were 3.25 ± 1.32 and 2.40 ± 0.96, respectively. NRS mean SD scores during movement for groups C and E were 3.88 ± 1.49 and 3.12 ± 1.30, respectively. The total amount of tramadol consumed in the first 24 h in group C and group E were mean SD: 86.40 ± 69.60 and 40.00 ± 46.96, respectively; P < 0.05.
ESPB improved postoperative quality of recovery, reduced NRS scores, and total analgesic consumption in patients with obesity undergoing bariatric surgery.
NCT05020379.
摘要：
背景：由于肥胖患者不同的生理特性和对阿片类药物的高度敏感性，减肥手术后的术后疼痛管理很困难。据报道，当与多模式镇痛一起应用时，竖脊肌平面阻滞（ESPB）有助于术后镇痛。
方法：将80例患者随机分为双侧ESPB（E组）或无阻滞（C组）。我们的主要目的是通过使用40项恢复质量40（QoR-40）问卷评估ESPB对减肥手术术后24小时恢复质量的影响。使用数字评定量表（NRS）评估术后疼痛，需要额外镇痛的时间，镇痛消耗，副作用,镇静,动员时间,术后并发症被评估为次要结局.
结果：术后24小时，E组术后平均QoR-40评分（175.02±11.25）高于C组（167.78±18.59）（P<0.05）。术后24小时C组静息时和运动时疼痛评分高于E组,C组和E组休息时NRS平均SD评分分别为3.25±1.32和2.40±0.96。C组和E组运动期间的NRS平均SD评分分别为3.88±1.49和3.12±1.30。C组和E组前24h消耗的曲马多总量的平均值分别为86.40±69.60和40.00±46.96；P<0.05。
结论：ESPB改善了术后恢复质量，NRS分数降低，肥胖患者接受减肥手术的总镇痛药消耗量。
背景：NCT05020379。
方法：将80例患者随机分为双侧ESPB（E组）或无阻滞（C组）。我们的主要目的是通过使用40项恢复质量40（QoR-40）问卷评估ESPB对减肥手术术后24小时恢复质量的影响。使用数字评定量表（NRS）评估术后疼痛，需要额外镇痛的时间，镇痛消耗，副作用,镇静,动员时间,术后并发症被评估为次要结局.
结果：术后24小时，E组术后平均QoR-40评分（175.02±11.25）高于C组（167.78±18.59）（P<0.05）。术后24小时C组静息时和运动时疼痛评分高于E组,C组和E组休息时NRS平均SD评分分别为3.25±1.32和2.40±0.96。C组和E组运动期间的NRS平均SD评分分别为3.88±1.49和3.12±1.30。C组和E组前24h消耗的曲马多总量的平均值分别为86.40±69.60和40.00±46.96；P<0.05。
结论：ESPB改善了术后恢复质量，NRS分数降低，肥胖患者接受减肥手术的总镇痛药消耗量。
背景：NCT05020379。
