Effect of cuadal plane block for postoperative analgesia in patients undergoing hip arthroplasty
10.3760/cma.j.cn131073-20241013-00309
- VernacularTitle:环腰肌阻滞用于髋关节置换术患者术后镇痛的效果
- Author:
Tong MENG
1
;
Jinghan LIANG
1
;
Yun WANG
1
Author Information
1. 首都医科大学附属北京朝阳医院麻醉科，北京 100020
- Publication Type:Journal Article
- Keywords:
Nerve block;
Psoas muscle;
Analgesia;
Arthroplasty, replacement, hip
- From:
Chinese Journal of Anesthesiology
2025;45(3):311-314
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of cuadal plane block (CPB) for postoperative analgesia in patients undergoing hip arthroplasty.Methods:In this randomized controlled trial, 60 patients of either sex, aged 18-85 yr, with an American Society of Anesthesiologists Physical Status classification Ⅰ-Ⅲ, with a body mass index of 18-30 kg/m 2, scheduled for elective total hip arthroplasty, were assigned into 2 groups ( n=30 each) using a random number table method in a 1∶1 ratio: CPB group and anterior quadratus lumborum block (AQLB) group. After spinal anesthesia (single-dose lumbar puncture), ultrasound-guided blocks were performed. CPB was performed on the affected side with 0.3% ropivacaine 45 ml in CPB group; AQLB was performed on the affected side with 0.3% ropivacaine 45 ml in AQLB group. All the patients were provided with patient-controlled intravenous analgesia postoperatively. The consumption of opioids, the time to first use of the analgesia pump and the time to first ambulation were recorded within 48 h postoperatively. Results:Compared to AQLB group, the consumption of opioids was significantly decreased within 48 h postoperatively, and the time to first use of the analgesia pump, and the time to first ambulation were shortened in CPB group ( P<0.05). Conclusions:CPB provides superior postoperative analgesia compared to AQLB in patients undergoing hip replacement.
