Department of Anaesthesiology and Reanimation, Erciyes University, Medical Faculty, Kayseri, Turkey.
Department of Urology Surgery, Erciyes University, Medical Faculty, Kayseri, Turkey.
Niger J Clin Pract. 2022 Feb;25(2):192-196. doi: 10.4103/njcp.njcp_462_20.
Percutaneous nephrolithotomy operation is a minimally invasive surgical procedure for the treatment of kidney stones.
This study aimed to evaluate the effectiveness of ultrasound-guided erector spinae plane block (ESPB) on analgesic consumption in patients who underwent percutaneous nephrolithotomy.
The data of 60 cases who underwent percutaneous nephrolithotomy operation between 01.01.2020 January and 12.01.2020 were retrospectively analyzed. Hemodynamic parameters, verbal analogue scale adjectives, total morphine consumption, additional analgesic and antiemetic need, duration of hospitalization, and patient satisfaction score were compared in patients who had ESPB and did not have block.
Demographic data and hemodynamic parameters were similar between the two groups. Verbal rating scale values were lower for Group I at 2, 6, 12, and 24 h (P < 0.05). Patient satisfaction score was significantly higher in Group I over 24 h (P = 0.039). Total morphine consumption at postoperative 2, 6, and 24 h was less than that of Group II (P < 0.05). Analgesia consumption in postoperative 24 h of group I was less than that of Group II (P = 0.001). The amount of fentanyl given intraoperatively was significantly higher in Group II (P = 0.001). Nausea and vomiting rates were significantly lower for Group I (P = 0.002).
Ultrasound-guided ESPB reduced postoperative morphine consumption and the rate of nausea and vomiting.
经皮肾镜取石术是一种治疗肾结石的微创手术。
本研究旨在评估超声引导竖脊肌平面阻滞（ESPB）对接受经皮肾镜取石术患者的镇痛效果。
回顾性分析了 2020 年 1 月 1 日至 12 月 12 日期间 60 例接受经皮肾镜取石术的患者的数据。比较了行 ESPB 与未行阻滞的患者的血流动力学参数、视觉模拟量表形容词、总吗啡用量、额外镇痛和止吐需求、住院时间和患者满意度评分。
两组患者的人口统计学数据和血流动力学参数相似。在第 2、6、12 和 24 小时，组 I 的视觉模拟量表评分较低（P < 0.05）。组 I 的患者满意度评分在 24 小时内显著高于组 II（P = 0.039）。术后 2、6 和 24 小时组 I 的总吗啡用量少于组 II（P < 0.05）。术后 24 小时组 I 的镇痛药物用量少于组 II（P = 0.001）。组 II 术中给予的芬太尼量明显较高（P = 0.001）。组 I 的恶心和呕吐发生率明显较低（P = 0.002）。
超声引导 ESPB 减少了术后吗啡的消耗和恶心呕吐的发生率。
