Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Regional General Hospital, Surabaya, Indonesia.
Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Regional General Hospital, Surabaya, Indonesia.
J Med Life. 2023 Nov;16(11):1707-1713. doi: 10.25122/jml-2023-0196.
Over 80% of surgical patients experience postoperative pain, which, if inadequately managed, can lead to complications, prolonged rehabilitation, chronic pain, and decreased quality of life. Epidural block and quadratus lumborum block are techniques commonly used for postoperative pain management. This comparative analytic study aimed to analyze the differences in the analgesic effects of quadratus lumborum block and epidural block in uterine surgery at Dr. Soetomo General Hospital. The outcomes assessed were the numerical rating score (NRS) as a pain score and the administration of opioids as an adjuvant analgesic. Statistical analysis employed the Mann-Whitney test and Chi-square test. The study included 32 patients who underwent uterine surgery at Dr. Soetomo General Hospital and met the inclusion and exclusion criteria. Among the patients, 90.6% experienced mild pain, and 9.4% experienced moderate pain. Epidural blocks were performed in 50% of the patients, while quadratus lumborum blocks were performed in the other 50%. Additionally, 9.4% of the patients received opioids as adjuvant analgesics. The Mann-Whitney test revealed no significant difference in NRS between the epidural block and quadratus lumborum block groups (p-value>0.05). However, the Chi-square test indicated a significant difference in NRS between patients who received additional opioids as adjuvant analgesics and those who did not (p-value<0.00). There was no significant difference in NRS between patients who underwent epidural block and quadratus lumborum block as analgesic techniques.
超过 80%的手术患者会经历术后疼痛，如果处理不当，可能会导致并发症、康复时间延长、慢性疼痛和生活质量下降。硬膜外阻滞和竖脊肌阻滞是常用于术后疼痛管理的技术。本分析性对比研究旨在分析在苏加诺综合医院行子宫手术时，竖脊肌阻滞与硬膜外阻滞的镇痛效果差异。评估的结果是数字评分（NRS）作为疼痛评分和使用阿片类药物作为辅助镇痛剂。统计分析采用 Mann-Whitney 检验和卡方检验。本研究纳入了 32 名在苏加诺综合医院行子宫手术且符合纳入和排除标准的患者。其中，90.6%的患者有轻度疼痛，9.4%的患者有中度疼痛。硬膜外阻滞在 50%的患者中进行，而竖脊肌阻滞在另外 50%的患者中进行。此外，9.4%的患者使用阿片类药物作为辅助镇痛剂。Mann-Whitney 检验显示，硬膜外阻滞组和竖脊肌阻滞组的 NRS 无显著差异（p 值>0.05）。然而，卡方检验显示，接受额外阿片类药物作为辅助镇痛剂的患者与未接受的患者之间的 NRS 有显著差异（p 值<0.00）。作为镇痛技术，行硬膜外阻滞和竖脊肌阻滞的患者的 NRS 无显著差异。
