Gao Jingchun,Ren Yi,Zheng Tiehua,et al.Efficacy of erector spinae plane block on postoperative recovery in adolescent idiopathic scoliosis children undergoing posterior spinal fusion surgery[J].Journal of Clinical Pediatric Surgery,,():446-451.[doi:10.3760/cma.j.cn101785-202309052-009]
Efficacy of erector spinae plane block on postoperative recovery in adolescent idiopathic scoliosis children undergoing posterior spinal fusion surgery
- Keywords:
- Erector Spinae Plane Block; Scoliosis; Postoperative Recovery; Surgical Procedures; Operative; Child
- 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,numerical rating scale (NRS),analgesic dose,mobilization time,discharge time and side effects were evaluated.Results 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 under 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 lower 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 surgery.It improves postoperative recovery.
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Memo
收稿日期:2023-09-28。
基金项目:深圳市“医疗卫生三名工程”(SZSM202011012); 吴阶平医学基金会临床科研专项资助基金(320.6750.19089—102)
通讯作者:郭东,Email:dr.guodong@vip.163.com