Postoperative analgesic effect of ultrasound‐guided rectus sheath block and local anesthetic infiltration after laparoscopic cholecystectomy: Results of a prospective randomized controlled trial
Postoperative analgesic effect of ultrasound‐guided rectus sheath block and local anesthetic infiltration after laparoscopic cholecystectomy: Results of a prospective randomized controlled trial
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腹腔镜胆囊切除术后超声引导直肌鞘阻滞和局麻药浸润的术后镇痛效果：前瞻性随机对照试验结果
DOI：
10.1111/ases.12957
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发表时间：
2021
影响因子：
1
通讯作者：
Tani Masaji
中科院分区：
文献类型：
--
作者：
Kitamura Naomi;Iida Hiroya;Maehira Hiromitsu;Mori Haruki;Sada Yoko;Shimizu Tomoharu;Kitagawa Hirotoshi;Tani Masaji
Introduction即使腹腔镜胆囊切除术（LC）通过小切口与开腹手术相比具有较低的侵入性，术后疼痛控制也很重要。MethodsThis前瞻性，随机，单盲，干预性，单中心研究于2016年12月至2018年3月在日本滋贺医科大学医院进行。入组患者被分配到腹直肌鞘阻滞（RSB）组或浸润性局部麻醉（LA）组。LC后，RSB组用0.375%罗哌卡因10 mL行双侧RSB，LA组用0.75%罗哌卡因10 mL行脐部皮下及筋膜注射。主要终点为术后第1天视觉模拟量表（VAS）评分。结果本研究共纳入62例患者（RSB组31例，LA组31例）。术后第1天，RSB组和LA组的平均VAS评分分别为36.4 ± 18.9和29.4 ± 15.4，表明LA组倾向于描述比RSB组更少的术后疼痛（P= 0.062）。LC患者可通过长效局部镇痛获得术后疼痛控制。
IntroductionEven if laparoscopic cholecystectomy (LC) has lower invasiveness through small incisions compared with laparotomy, postoperative pain control is important.MethodsThis prospective, randomized, single‐blinded, interventional, single‐center study was conducted from December 2016 to March 2018 at the Shiga University of Medical Science Hospital in Japan. Enrolled patients were assigned to either a rectus sheath block (RSB) group or an infiltrative local anesthesia (LA) group. After LC, the RSB group received bilateral RSB with 10 mL of 0.375% ropivacaine and the LA group received subcutaneous and fascial injection with 10 mL of 0.75% ropivacaine at the umbilical wound. The primary endpoint was a visual analog scale (VAS) score on postoperative day (POD) 1.ResultsThis study enrolled 62 patients (RSB group = 31, LA group = 31). On POD1, the mean VAS scores were 36.4 ± 18.9 and 29.4 ± 15.4 in the RSB group and LA groups, respectively, showing that the LA group tended to describe lesser postoperative pain than the RSB group (P= 0.062).ConclusionsVAS scores on POD1 were not different between the groups. LC patients might obtain postoperative pain control via long‐acting local analgesia.
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