PDF(Pubmed)
Abstract：
UNASSIGNED: Rectus sheath block is an emerging technique that provide effective perioperative analgesia and is related to lower perioperative opioid consumption and decrease opioid-related adverse effects. The present research is designed to explore the effect of rectus sheath block on recovery quality in patients following transabdominal midline gynecological surgery.
UNASSIGNED: Ninety female patients following elective transabdominal midline gynecological surgery were enrolled. Patients were randomized to group R (n = 45) which receive preoperative ultrasound-guided RSB with 0.4% ropivacaine or group C which is control group (n = 45). The primary outcome was the quality of recovery on the first postoperative day. The quality of recovery was assessed by the 40-item Quality of Recovery questionnaire (QoR-40). Secondary outcomes included the intraoperative opioid consumption, time to first flatus and time to first discharging from bed, postoperative nausea and vomiting, and patient satisfaction.
UNASSIGNED: The patients in two groups had comparable baseline characteristics. Postoperative global QoR-40 scores were significantly better in group R than in group C (165.0[159.5-170.0] vs 155.0[150.0-157.0], respectively; median difference 12[95% confidence interval: 8-15, P<0.001]). Preoperative RSB reduced intraoperative opioid consumption, reduced the time to first flatus, time to first discharging from bed and the post anaesthesia care unit discharge time. Furthermore, group R showed greater patient satisfaction.
UNASSIGNED: A single preoperative administration of RSB with ropivacaine improved the quality of recovery in patients following transabdominal midline gynecological surgery.
Although laparoscopic surgery accounts for a higher proportion of gynecological procedures, open gynecological surgery remains irreplaceable for some patients. Recovery from open gynecological surgery is a combination of physical injuries and psychological challenges. Consequently, accelerating functional recovery, alleviating discomfort and improving the quality of recovery in such patients is a clinical issue that we need to focus on. The QoR 40 scale is a patient-reported assessment tool which evaluates the quality of recovery in five dimensions. Ultrasound-guided rectus sheath block is a safe and effective abdominal wall nerve block for anesthesia and analgesia of umbilical and median abdominal longitudinal incisions. This study investigated the impact of rectus sheath block on the quality of postoperative recovery after open gynecological surgery using the QoR40 scale. Participants were randomized to two groups: rectus sheath block treatments and a control group receiving standard care only. Rectus sheath block improves the quality of recovery in patients undergoing open gynecological surgery one day after surgery without adverse effects, which has successfully made rapid rehabilitation from bench to bedside.
UNASSIGNED: Ninety female patients following elective transabdominal midline gynecological surgery were enrolled. Patients were randomized to group R (n = 45) which receive preoperative ultrasound-guided RSB with 0.4% ropivacaine or group C which is control group (n = 45). The primary outcome was the quality of recovery on the first postoperative day. The quality of recovery was assessed by the 40-item Quality of Recovery questionnaire (QoR-40). Secondary outcomes included the intraoperative opioid consumption, time to first flatus and time to first discharging from bed, postoperative nausea and vomiting, and patient satisfaction.
UNASSIGNED: The patients in two groups had comparable baseline characteristics. Postoperative global QoR-40 scores were significantly better in group R than in group C (165.0[159.5-170.0] vs 155.0[150.0-157.0], respectively; median difference 12[95% confidence interval: 8-15, P<0.001]). Preoperative RSB reduced intraoperative opioid consumption, reduced the time to first flatus, time to first discharging from bed and the post anaesthesia care unit discharge time. Furthermore, group R showed greater patient satisfaction.
UNASSIGNED: A single preoperative administration of RSB with ropivacaine improved the quality of recovery in patients following transabdominal midline gynecological surgery.
Although laparoscopic surgery accounts for a higher proportion of gynecological procedures, open gynecological surgery remains irreplaceable for some patients. Recovery from open gynecological surgery is a combination of physical injuries and psychological challenges. Consequently, accelerating functional recovery, alleviating discomfort and improving the quality of recovery in such patients is a clinical issue that we need to focus on. The QoR 40 scale is a patient-reported assessment tool which evaluates the quality of recovery in five dimensions. Ultrasound-guided rectus sheath block is a safe and effective abdominal wall nerve block for anesthesia and analgesia of umbilical and median abdominal longitudinal incisions. This study investigated the impact of rectus sheath block on the quality of postoperative recovery after open gynecological surgery using the QoR40 scale. Participants were randomized to two groups: rectus sheath block treatments and a control group receiving standard care only. Rectus sheath block improves the quality of recovery in patients undergoing open gynecological surgery one day after surgery without adverse effects, which has successfully made rapid rehabilitation from bench to bedside.
摘要：
■直肌鞘阻滞是一种新兴的技术，可提供有效的围手术期镇痛，并与降低围手术期阿片类药物的消耗和减少阿片类药物相关的不良反应有关。本研究旨在探讨直肌鞘阻滞对经腹中线妇科手术患者康复质量的影响。
■90例择期经腹中线妇科手术的女性患者纳入研究。患者被随机分为R组（n=45），后者接受术前超声引导下使用0.4％罗哌卡因的RSB或C组（n=45）。主要结果是术后第一天的恢复质量。通过40项恢复质量问卷（QoR-40）评估恢复质量。次要结果包括术中阿片类药物的消耗，第一次排气的时间和第一次从床上排出的时间，术后恶心呕吐,患者满意度。
■两组患者具有相当的基线特征。R组术后整体QoR-40评分明显优于C组（165.0[159.5-170.0]vs155.0[150.0-157.0]，分别为；中位数差异12[95%置信区间：8-15，P<0.001]）。术前RSB减少术中阿片类药物的消耗，减少了第一次排气的时间，首次出院的时间和麻醉后护理单元的出院时间。此外，R组患者满意度更高。
■术前单次给予罗哌卡因可改善经腹中线妇科手术后患者的恢复质量。
虽然腹腔镜手术在妇科手术中所占比例较高，开放性妇科手术对于一些患者来说仍然是不可替代的。从开放式妇科手术中恢复是身体伤害和心理挑战的结合。因此,加速功能恢复，减轻此类患者的不适感和改善康复质量是我们需要关注的临床问题。QoR40量表是一种患者报告的评估工具，可在五个维度上评估恢复质量。超声引导直肌鞘阻滞是一种安全有效的腹壁神经阻滞，用于脐和正中腹纵切口的麻醉和镇痛。本研究采用QoR40量表探讨直肌鞘阻滞对妇科开腹手术后恢复质量的影响。参与者被随机分为两组：直肌鞘阻滞治疗和对照组仅接受标准护理。直肌鞘阻滞提高了妇科开腹手术患者术后一天的恢复质量，无不良影响，成功地从长凳到床边进行了快速康复。
■90例择期经腹中线妇科手术的女性患者纳入研究。患者被随机分为R组（n=45），后者接受术前超声引导下使用0.4％罗哌卡因的RSB或C组（n=45）。主要结果是术后第一天的恢复质量。通过40项恢复质量问卷（QoR-40）评估恢复质量。次要结果包括术中阿片类药物的消耗，第一次排气的时间和第一次从床上排出的时间，术后恶心呕吐,患者满意度。
■两组患者具有相当的基线特征。R组术后整体QoR-40评分明显优于C组（165.0[159.5-170.0]vs155.0[150.0-157.0]，分别为；中位数差异12[95%置信区间：8-15，P<0.001]）。术前RSB减少术中阿片类药物的消耗，减少了第一次排气的时间，首次出院的时间和麻醉后护理单元的出院时间。此外，R组患者满意度更高。
■术前单次给予罗哌卡因可改善经腹中线妇科手术后患者的恢复质量。
虽然腹腔镜手术在妇科手术中所占比例较高，开放性妇科手术对于一些患者来说仍然是不可替代的。从开放式妇科手术中恢复是身体伤害和心理挑战的结合。因此,加速功能恢复，减轻此类患者的不适感和改善康复质量是我们需要关注的临床问题。QoR40量表是一种患者报告的评估工具，可在五个维度上评估恢复质量。超声引导直肌鞘阻滞是一种安全有效的腹壁神经阻滞，用于脐和正中腹纵切口的麻醉和镇痛。本研究采用QoR40量表探讨直肌鞘阻滞对妇科开腹手术后恢复质量的影响。参与者被随机分为两组：直肌鞘阻滞治疗和对照组仅接受标准护理。直肌鞘阻滞提高了妇科开腹手术患者术后一天的恢复质量，无不良影响，成功地从长凳到床边进行了快速康复。
