临床小儿外科杂志2024，Vol.23Issue(5)：446-451,6.DOI:10.3760/cma.j.cn101785-202309052-009
超声引导下竖脊肌平面阻滞对脊柱侧弯患儿术后早期康复质量的影响
Efficacy of erector spinae plane block on postoperative recovery in adolescent idiopathic scoliosis chil-dren undergoing posterior spinal fusion surgery
摘要
Abstract
Objective To explore the effect of ultrasound-guided erector spinae plane block(ESPB)on postoperative recovery for adolescent idiopathic scoliosis(AIS)children undergoing posterior spine fusion(PSF)surgery.Methods Fifty patients undergoing elective PSF were randomized into two groups of ESPB(n=25)and control(n=25).Quality of recovery(QoR)-15 score at preoperative and postoperative 24h,numer-ical rating scale(NRS),analgesic dose,mobilization time,discharge time and side effects were evaluated.Re-sults No significant difference existed in baseline profiles or preoperative quality of recovery(QoR)-15 score.At postoperative 24 h,QoR-15 was significantly higher in group E than that in group C[(110.5±12.3)vs.(99.0±13.6),P=0.003].Postoperative anesthesia care unit(PACU)stay was significantly shorter in ESPB group than in control group[(18.6±4.5)vs.(25.1±7.4)min,P＜0.001].As compared with control group,early mobilization[(38.8±5.2)vs.(43.6±5.3)h,P=0.002],drinking[2(1,2)vs.2(2,4)h,P＜0.001]and ingesting[(12.6±4.5)vs.(18.1±5.5)h,P＜0.001]were better in ESPB group.The area un-der the curve(AUC)of NRS score over postoperative 24 h was significantly lower in ESPB group than that in control group[(59.6±12.1)vs.(81.7±10.8),P＜0.001].At postoperative 24 h,opioid consumption as measured by parent-controlled intravenous analgesia(PCIA)boluses and necessity of rescue analgesia was low-er in ESPB group than that in control group[(18.1±5.5)vs.(25.4±6.7),P＜0.010;4.5(3.0,6.0)vs.6.0(4.5,10.0)mg,P＜0.009].No statistically significant difference existed in length of hospitalization stay or side effects.Conclusions ESPB is adequate for postoperative analgesia in AIS children undergoing spine sur-gery.It improves postoperative recovery.关键词
竖脊肌平面阻滞/脊柱侧弯/术后恢复/外科手术/儿童Key words
Erector Spinae Plane Block/Scoliosis/Postoperative Recovery/Surgical Procedures,Op-erative/Child引用本文复制引用
高景淳,任艺,郑铁华,李海艟,郭东..超声引导下竖脊肌平面阻滞对脊柱侧弯患儿术后早期康复质量的影响[J].临床小儿外科杂志,2024,23(5):446-451,6.基金项目
深圳市"医疗卫生三名工程"(SZSM202011012) （SZSM202011012）
吴阶平医学基金会临床科研专项资助基金(320.6750.19089-102) Sanming Project of Medicine in Shenzhen(SZSM202011012) （320.6750.19089-102）
Wu Jieping Medical Foun-dation Special Fund for Clinical Research(320.6750.19089-102) （320.6750.19089-102）
