Degirmenci Nazan, Ozdem Abdullah, Uysal Harun, Sen Pelin, Senturk Erol, Ozturan Orhan, Turkoz Ayda
Department of Otorhinolaryngology-Head and Neck Surgery, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.
Department of Anesthesiology and Reanimation, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.
Ann Otol Rhinol Laryngol. 2020 Jul;129(7):722-726. doi: 10.1177/0003489420909417. Epub 2020 Feb 22.
This study aimed to evaluate the effect of preoperative sphenopalatine ganglion block (SPBG) on the postoperative pain (POP) in patients undergoing septorhinoplasty (SRP).
A retrospective cohort study was performed. A total of 42 patients that had received septorhinoplasty included in the study. The patients that had received SPBG before the surgery included in the Block group (n:20) and the patients that had not received SPBG before the surgery included in the Control group (n:22). POP was questioned with a numeric rating scale (NRS) at the 30th minute (t1), 1st hour (t2), 4th hour (t3), 12th hour (t4), and 24th hour (t5) and noted. The intraoperative details and the dose of the postoperative rescue analgesics were also noted.
The average dose of Paracetamol that was used in the postoperative first 24 hours was 500 mg in the Block group and 1363 mg in the Control group, and the difference was statistically significant ( = .001). The average dose of Tramadol was 0 mg in the Block group and 45 mg in the Control group, and the difference was statistically significant ( = .001). There was a statistically significant difference among the groups with respect to NRS in the first 24 hours postoperatively ( < .05). The number of the patients requiring rescue analgesics was lower in the Block group than the Control group. The difference was statistically significant at the t1, t2, and t5 time intervals ( > .05).
Preoperative SPGB is an effective option to reduce POP and the need for rescue analgesics for patients undergoing SRP.
NCT04020393.
本研究旨在评估术前蝶腭神经节阻滞（SPBG）对鼻中隔成形术（SRP）患者术后疼痛（POP）的影响。
进行一项回顾性队列研究。共有42例行鼻中隔成形术的患者纳入本研究。术前接受SPBG的患者纳入阻滞组（n = 20），术前未接受SPBG的患者纳入对照组（n = 22）。在第30分钟（t1）、第1小时（t2）、第4小时（t3）、第12小时（t4）和第24小时（t5）用数字评分量表（NRS）询问术后疼痛情况并记录。同时记录术中细节及术后补救镇痛药的剂量。
阻滞组术后首24小时对乙酰氨基酚的平均用量为500 mg，对照组为1363 mg，差异有统计学意义（P = 0.001）。阻滞组曲马多的平均用量为0 mg，对照组为45 mg，差异有统计学意义（P = 0.001）。术后24小时内，两组间NRS评分差异有统计学意义（P < 0.05）。阻滞组需要补救镇痛药的患者数量低于对照组。在t1、t2和t5时间间隔差异有统计学意义（P > 0.05）。
术前SPGB是减轻SRP患者术后疼痛及减少补救镇痛药需求的有效选择。
NCT04020393。
