The application of multimodal analgesia strategy combined with erector spinae plane block in posterior lumbar surgery
Objective:To explore the clinical effect of a multimodal analgesic strategy combined with erector spinae plane block(ESPB)in posterior lumbar surgery.Methods:A total of 80 patients who underwent elective posterior lumbar surgery were selected and randomly divided into an ESPB group and a non-ESPB group,with 40 patients in each group,using a random number table method.Patients in the ESPB group underwent bilateral ESPB with 20 mL of 0.25％ropivacaine on each side after general anesthesia,and patients in the non-ESPB group did not undergo ESPB.Visual analogue scale(VAS)scores at rest and during movement(turning over)were recorded at 2,12,24 and 48 h postoperatively.The perioperative consumption of opioids,the numbers of remedial analgesia,time to the first press of analgesic pump,perioperative stress indicators,postoperative recovery,and occurrence of adverse events were recorded.Results:Compared with those in the non-ESPB group,patients in the ESPB group had lower VAS scores at rest and during movement(turning over)at 2 and 12 h postoperatively,reduced perioperative opioid consumption,fewer number of remedial analgesia,delayed first pressing of the analgesic pump,lower perioperative blood glucose and serum cortisol concentrations,shorter time to first postoperative exhaust and time to first postoperative ambulation,and higher levels of patient satisfaction(all P＜0.05).There was no significant difference in the incidence of adverse events between the two groups(PP＞0.05).Conclusions:The multimodal analgesia strategy combined with ESPB can reduce the perioperative consumption of opioids,and reduce the stress response of patients.It can be safely and effectively applied to patients undergoing posterior lumbar surgery,promoting postoperative recovery.
万方数据
维普
