Ultrasound-Guided Transmuscular Quadratus Lumborum Block Reduces Postoperative Pain Intensity in Patients Undergoing Total Hip Arthroplasty: A Randomized, Double-Blind, Placebo-Controlled Trial
المؤلفون المشاركون
He, Jian
Zhang, Lei
He, Wan You
Li, Dong Lin
Zheng, Xue Qin
Liu, Qi Xia
Wang, Han Bin
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-03-09
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background and Objectives.
Pain management following total hip arthroplasty (THA) has been widely investigated; however, the best effective method is yet to be determined.
The aim of this prospective, placebo-controlled study was to evaluate the analgesic efficacy of ultrasound-guided QL3 block in patients undergoing THA.
Methods.
Eighty-eight patients undergoing THA were randomized to receive 0.33% ropivacaine (Group QLB, n = 44) or saline (Group Con, n = 44) for QL3 block.
Spinal anesthesia was then performed.
Pain intensity was assessed using the visual analog scale (0: no pain to 10: worst possible pain).
The primary outcome was pain scores recorded at rest at 3, 6, 12, 24, 36, and 48 h and on standing and walking at 24, 36, and 48 h postoperatively.
Secondary outcomes were analgesic consumption, side effects, the 10-meter walking speed on day 6, and patient satisfaction after surgery.
Results.
Postoperative pain intensity was significantly lower in Group QLB compared to Group Con at rest after 3, 6, 12, 24, 36, and 48 h (p<0.001) and during mobilization after 24, 36, and 48 h (p<0.001).
Morphine use was significantly lower in Group QLB compared to Group Con during 0–24 h (16.0 ± 7.1 vs.
34.1 ± 7.1 mg, p<0.001) and during 24–48 h (13.0 ± 4.0 vs.
17.4 ± 4.6 mg, p<0.001) postoperatively.
The 10-meter walking speed was higher in Group QLB compared to Group Con, both at comfortable (0.79 ± 0.13 vs.
0.70 ± 0.14 m/s, p=0.012) and at maximum speeds (1.18 ± 0.26 vs.
1.06 ± 0.22 m/s, p<0.001).
Incidences of nausea (7.3% vs.
31%, p=0.006), vomiting (7.3% vs.
26.2%, p = 0.022), and urinary retention (9.8% vs.
28.6%, p=0.030) were lower in Group QLB than in Group Con.
Conclusions.
Ultrasound-guided QL3 block is an effective pain management technique after THA.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
He, Jian& Zhang, Lei& He, Wan You& Li, Dong Lin& Zheng, Xue Qin& Liu, Qi Xia…[et al.]. 2020. Ultrasound-Guided Transmuscular Quadratus Lumborum Block Reduces Postoperative Pain Intensity in Patients Undergoing Total Hip Arthroplasty: A Randomized, Double-Blind, Placebo-Controlled Trial. Pain Research and Management،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1206674
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
He, Jian…[et al.]. Ultrasound-Guided Transmuscular Quadratus Lumborum Block Reduces Postoperative Pain Intensity in Patients Undergoing Total Hip Arthroplasty: A Randomized, Double-Blind, Placebo-Controlled Trial. Pain Research and Management No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1206674
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
He, Jian& Zhang, Lei& He, Wan You& Li, Dong Lin& Zheng, Xue Qin& Liu, Qi Xia…[et al.]. Ultrasound-Guided Transmuscular Quadratus Lumborum Block Reduces Postoperative Pain Intensity in Patients Undergoing Total Hip Arthroplasty: A Randomized, Double-Blind, Placebo-Controlled Trial. Pain Research and Management. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1206674
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1206674
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر