竖脊肌平面阻滞、神经性疼痛与胸腔镜手术后生活质量的关系。试点，观察性研究。

IF 1.6 Q2 ANESTHESIOLOGY Anaesthesiology intensive therapy Pub Date : 2023-01-01 DOI:10.5114/ait.2023.128643

Lorena Díaz-Bohada, Juan C Segura-Salguero, Juan D Aristizabal-Mayor, Nelcy Miranda-Pineda, Ana H Perea-Bello, Marcin Wąsowicz

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摘要

背景:竖脊肌平面阻滞(ESPB)是视频胸腔镜手术(VATS)后疼痛管理的一种有价值的替代方法。术后慢性神经性疼痛(CNP)发生率高，而VATS术后的生活质量(QoL)尚不清楚。我们假设ESPB患者的急性和CNP发生率较低，并且在VATS后3个月的生活质量良好。方法:我们于2020年1月至4月进行了一项单中心前瞻性先导队列研究。VATS后的ESPB是标准做法。主要观察指标为术后3个月CNP的发生率。次要结局包括术后3个月通过EuroQoL问卷评估的生活质量，以及术后12和24小时在麻醉后护理病房(PACU)的疼痛控制。结果:我们于2020年1月至4月进行了一项单中心前瞻性试点队列研究。VATS后的ESPB是标准做法。主要观察指标为术后3个月CNP的发生率。次要结局包括术后3个月通过EuroQoL问卷评估的生活质量，以及术后12和24小时在麻醉后护理病房(PACU)的疼痛控制。结论:我们于2020年1月至4月进行了一项单中心前瞻性先导队列研究。VATS后的ESPB是标准做法。主要观察指标为术后3个月CNP的发生率。次要结局包括术后3个月通过EuroQoL问卷评估的生活质量，以及术后12和24小时在麻醉后护理病房(PACU)的疼痛控制。

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Erector spinae plane block, neuropathic pain and quality of life after video-assisted thoracoscopy surgery. Pilot, observational study.

Background: The erector spinae plane block (ESPB) is a valuable alternative for pain management after video-assisted thoracoscopy surgery (VATS). The incidence of postoperative chronic neuropathic pain (CNP) is high while the quality of life (QoL) after VATS remains unknown. We hypothesised that patients with ESPB would have a low incidence of acute and CNP and would report a good QoL up to three months after VATS.

Methods: We conducted a single-centre prospective pilot cohort study from January to April 2020. ESPB after VATS was the standard practice. The primary outcome was the incidence of CNP three months postoperatively. Secondary outcomes included QoL assessed by the EuroQoL questionnaire three months after surgery and pain control at the Post-Anaesthesia Care Unit (PACU), 12 and 24 hours postoperatively.

Results: We conducted a single-centre prospective pilot cohort study from January to April 2020. ESPB after VATS was the standard practice. The primary outcome was the incidence of CNP three months postoperatively. Secondary outcomes included QoL assessed by the EuroQoL questionnaire three months after surgery and pain control at the Post-Anaesthesia Care Unit (PACU), 12 and 24 hours postoperatively.

Conclusions: We conducted a single-centre prospective pilot cohort study from January to April 2020. ESPB after VATS was the standard practice. The primary outcome was the incidence of CNP three months postoperatively. Secondary outcomes included QoL assessed by the EuroQoL questionnaire three months after surgery and pain control at the Post-Anaesthesia Care Unit (PACU), 12 and 24 hours postoperatively.

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