PDF(Pubmed)
Abstract：
UNASSIGNED: To compare the impact of erector spinae plane block (ESPB) and paravertebral block (PVB) on the quality of postoperative recovery (QoR) of patients following laparoscopic sleeve gastrectomy (LSG).
UNASSIGNED: A total of 110 patients who underwent elective LSG under general anesthesia were randomly assigned to receive either ultrasound-guided bilateral ESPB or PVB at T8 levels. Before anesthesia induction, 40 mL of 0.33% ropivacaine was administered. The primary outcome was the QoR-15 score at 24 hours postoperatively.
UNASSIGNED: At 24 hours postoperatively, the QoR-15 score was comparable between the ESPB and PVB groups (131 (112-140) vs. 124 (111-142.5), P = 0.525). Consistently, there was no significant difference in QoR-15 scores at 48 hours postoperatively, numerical rating scale (NRS) pain scores at any postoperative time points, time to first ambulation, time to first anal exhaust, postoperative cumulative oxycodone consumption, and incidence of postoperative nausea and vomiting (PONV) between the two groups (all P > 0.05). No nerve block-related complications were observed in either group.
UNASSIGNED: In patients undergoing LSG, preoperative bilateral ultrasound-guided ESPB yields comparable postoperative recovery to preoperative bilateral ultrasound-guided PVB.
UNASSIGNED: A total of 110 patients who underwent elective LSG under general anesthesia were randomly assigned to receive either ultrasound-guided bilateral ESPB or PVB at T8 levels. Before anesthesia induction, 40 mL of 0.33% ropivacaine was administered. The primary outcome was the QoR-15 score at 24 hours postoperatively.
UNASSIGNED: At 24 hours postoperatively, the QoR-15 score was comparable between the ESPB and PVB groups (131 (112-140) vs. 124 (111-142.5), P = 0.525). Consistently, there was no significant difference in QoR-15 scores at 48 hours postoperatively, numerical rating scale (NRS) pain scores at any postoperative time points, time to first ambulation, time to first anal exhaust, postoperative cumulative oxycodone consumption, and incidence of postoperative nausea and vomiting (PONV) between the two groups (all P > 0.05). No nerve block-related complications were observed in either group.
UNASSIGNED: In patients undergoing LSG, preoperative bilateral ultrasound-guided ESPB yields comparable postoperative recovery to preoperative bilateral ultrasound-guided PVB.
摘要：
■比较竖脊肌平面阻滞（ESPB）和椎旁阻滞（PVB）对腹腔镜袖状胃切除术（LSG）患者术后恢复质量（QoR）的影响。
■共有110名在全身麻醉下接受选择性LSG的患者被随机分配接受超声引导下T8水平的双侧ESPB或PVB。麻醉诱导前,施用40mL的0.33%罗哌卡因。主要结果是术后24小时的QoR-15评分。
■术后24小时，QoR-15评分在ESPB和PVB组之间具有可比性（131（112-140）与124（111-142.5），P=0.525)。始终如一，术后48小时QoR-15评分无显著差异，任何术后时间点的数值评定量表（NRS）疼痛评分，到了第一次行走的时间，第一次肛门排气的时间，术后累积羟考酮消耗量，两组患者术后恶心呕吐(PONV)发生率比较(均P>0.05)。两组均未出现神经阻滞相关并发症。
■在接受LSG的患者中，术前双侧超声引导ESPB的术后恢复与术前双侧超声引导PVB相当.
■共有110名在全身麻醉下接受选择性LSG的患者被随机分配接受超声引导下T8水平的双侧ESPB或PVB。麻醉诱导前,施用40mL的0.33%罗哌卡因。主要结果是术后24小时的QoR-15评分。
■术后24小时，QoR-15评分在ESPB和PVB组之间具有可比性（131（112-140）与124（111-142.5），P=0.525)。始终如一，术后48小时QoR-15评分无显著差异，任何术后时间点的数值评定量表（NRS）疼痛评分，到了第一次行走的时间，第一次肛门排气的时间，术后累积羟考酮消耗量，两组患者术后恶心呕吐(PONV)发生率比较(均P>0.05)。两组均未出现神经阻滞相关并发症。
■在接受LSG的患者中，术前双侧超声引导ESPB的术后恢复与术前双侧超声引导PVB相当.
