Effect of ultrasound-guided erector spinae plane block on early postoperative respiratory function in patients with multiple rib fractures
10.12089/jca.2024.06.001
- VernacularTitle:超声引导下竖脊肌平面阻滞对多发肋骨骨折患者术后早期呼吸功能的影响
- Author:
Shuang YU
1
;
Xiaofan WANG
;
Yanjun LIN
;
Shaoqiang ZHENG
;
Zhanmin YANG
;
Yaoping ZHAO
Author Information
1. 100049 北京市,航天中心医院麻醉科
- Keywords:
Erector spinae plane block;
Rib fracture;
Inflammatory cytokines;
Forced vital capac-ity;
Ultrasound-guidance
- From:
The Journal of Clinical Anesthesiology
2024;40(6):565-569
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of ultrasound-guided erector spinae plane block(ESPB)on early postoperative respiratory function and inflammatory cytokines in patients with multiple rib fractures(MRFs).Methods Fifty-eight patients who underwent MRFs surgery,42 males and 16 females,aged 18-64 years,BMI 18.5-30.0 kg/m2,ASA physical status Ⅰ or Ⅱ,were selected from February 2019 to December 2021.The patients were divided into two groups using random number method:ESPB combined with general anesthesia group(group E)and general anesthesia alone group(group G),29 pa-tients in each group.All the patients in group E underwent ultrasound-guided ESPB in the lateral decubitus position after general anesthesia induction,and 0.5％ropivacaine 0.4 ml/kg was administered.Forced vital capacity(FVC),arterial blood gas analysis,VAS pain scores at rest and cough were recorded before anes-thesia induction,at discharge from PACU,24 and 48 hours after operation.The number of effective PCIA compressions during 0-24 hours and 24-48 hours after surgery and the number of rescue analgesia were re-corded.The concentrations of IL-6 and TNF-α were recorded before anesthesia induction,24 and 48 hours after operation.Results Compared with group G,the FVC was significantly higher,and the VAS score and PaCO2 were significantly lower in group E at discharge from PACU,24 and 48 hours after operation(P＜0.05).The number of effective PCIA compressions during 0-24 hours and 24-48 hours after surgery,the rate of rescue analgesia,the concentrations of IL-6 and TNF-α 24 and 48 hours after operation in group E were significantly lower than those in group G(P＜0.05).Conclusion Ultrasound-guided ESPB can pro-vide good postoperative analgesia,promote early postoperative recovery of respiratory function in patients with MRFs.
