Comparison of ultrasound-guided transversalis fascia plane block and anterior quadratus lumborum block in patients undergoing caesarean delivery: a randomized study.
Comparison of ultrasound-guided transversalis fascia plane block and anterior quadratus lumborum block in patients undergoing caesarean delivery: a randomized study.
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DOI：
10.1186/s12871-023-02206-w
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发表时间：
2023-07-21
影响因子：
2.2
通讯作者：
中科院分区：
文献类型：
--
作者：
剖腹产越来越普遍。良好的术后镇痛可提高患者的舒适度，同时鼓励早期母乳喂养和母乳喂养。比较面横肌平面阻滞（TFPB）与腰方肌前阻滞（QLB）的镇痛效果。本文分析了49例妊娠≥ 37周、年龄18- 45岁、拟在全麻下行择期剖宫产术的孕妇的资料。随机分为TFPB组和前QLB组。拔管前，在超声引导下双侧给予所有阻滞剂25 mL 0.25%布比卡因。在术后1、3、6、9、12、18和24 h记录吗啡用量和数字评定量表（NRS）疼痛评分（静态和动态[咳嗽期间]）。在术后第3、6和9小时，两组之间的吗啡消耗量没有差异，但在第12、18和24小时，前QLB组消耗的吗啡较少。除第一小时外，两组之间的静息和动态NRS评分相当。TFPB组的第一小时静息和动态NRS评分较低（静息NRS，前QLB组，中位数[四分位距]，2 [2-3] vs. TFPB组，2 [0-2]，p = 0.046;动态NRS，前QLB组，中位数[四分位距]，3 [2-4] vs. TFPB组2 [0-3]，p = 0.001）。在接受CD的患者中，与TFPB相比，前QLB在后期（9- 24小时）减少了吗啡消耗，而两组之间的疼痛评分相似。吗啡消耗量的减少具有统计学意义，但无临床意义。
Cesarean section is becoming increasingly common. Well-managed postoperative analgesia improves patient comfort while encouraging early ambulation and breastfeeding. The analgesic efficacy of transversalis facial plane block (TFPB) vs. anterior quadratus lumborum block (QLB) was compared in this study. We analyzed the data of 49 pregnant women (gestation, ≥ 37weeks; age, 18–45years) scheduled for elective cesarean delivery (CD) under general anesthesia. They were randomly divided into TFPB and anterior QLB groups. All blocks were administered bilaterally with 25mL of 0.25% bupivacaine under ultrasound guidance prior to extubation. Postoperative morphine consumption and numerical rating scale (NRS) pain scores (static and dynamic [during coughing]) were recorded at 1, 3, 6, 9, 12, 18, and 24h. There was no difference in postoperative morphine consumption between the groups at the third, sixth, and ninth hours, but the anterior QLB group consumed less morphine at the 12th, 18th, and 24th hours. Except for the first hour, resting and dynamic NRS scores were comparable between the groups. The first-hour resting and dynamic NRS scores were lower in the TFPB group (resting NRS, anterior QLB group, median [interquartile range], 2 [2–3] vs. TFPB group, 2 [0–2], p = 0.046; dynamic NRS, anterior QLB group, median [interquartile range], 3 [2–4] vs. TFPB group 2 [0–3], p = 0.001). In patients undergoing CD, anterior QLB decreased morphine consumption in the late period (9–24h) compared to TFPB, while pain scores were similar between both groups. The reduction in morphine consumption was statistically significant, but not clinically significant.
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DOI：
10.3344/kjp.2021.34.2.201
发表时间：
2021-04-01
期刊：
The Korean journal of pain
影响因子：
--
作者：
Fouad AZ;Abdel-Aal IRM;Gadelrab MRMA;Mohammed HMES
通讯作者：
Mohammed HMES
影响因子：
1.4
作者：
Saito, T;Den, S;Carlsson, C
通讯作者：
Carlsson, C
影响因子：
10.7
作者：
Roofthooft E;Joshi GP;Rawal N;Van de Velde M;PROSPECT Working Group* of the European Society of Regional Anaesthesia and Pain Therapy and supported by the Obstetric Anaesthetists’ Association
通讯作者：
PROSPECT Working Group* of the European Society of Regional Anaesthesia and Pain Therapy and supported by the Obstetric Anaesthetists’ Association
影响因子：
3.6
作者：
Blanco, Rafael;Ansari, Tarek;Girgis, Emad
通讯作者：
Girgis, Emad
影响因子：
2.1
作者：
Steingrimsdottir, Guony E.;Hansen, Christian K.;Borglum, Jens
通讯作者：
Borglum, Jens