Effect of Erector Spinae Plane Block in Terms of Analgesic Efficacy in Elderly Patients Undergoing Posterior Lumbar Spine Surgery: A Retrospective, Propensity-Score Matched Study

被引：3

作者：

Zhu, Jianqin ^{[2
]}

Wu, Zhenjun ^{[3
]}

Huang, Guiming ^{[1
]}

Zhong, Yuting ^{[4
]}

Peng, Cheng ^{[1
]}

机构：

[1] Ganzhou Peoples Hosp, Dept Anesthesiol, Ganzhou 341000, Peoples R China

[2] Ganzhou Peoples Hosp, Dept Sleep Med, Ganzhou 341000, Peoples R China

[3] Guangxi Univ Chinese Med, Dept Anesthesiol, Affiliated Hosp 1, Nanning 530023, Peoples R China

[4] Gannan Med Univ, Dept Anesthesiol, Affiliated Hosp 1, Ganzhou 341000, Peoples R China

来源：

PAIN AND THERAPY | 2023年 / 12卷 / 04期

关键词：

Erector spinae plane block; Analgesic; Elderly patients; Posterior lumbar spine surgery; Propensity score matching; DISEASE; PAIN;

D O I：

10.1007/s40122-023-00527-9

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

IntroductionFor preoperative analgesia during a variety of operations, the erector spinae plane block (ESPB) has grown in popularity. However, its effectiveness in lumbar surgery is still unknown. The purpose of this study was to investigate the potential benefits of ESPB in enhancing analgesic efficacy in elderly individuals following posterior lumbar spine surgery.MethodsPatients aged 65 years or older who underwent elective posterior lumbar instrumented fusion (with or without decompression) at our institution between January 2019 and June 2022 were included. Demographic data, comorbidities, and results of preoperative screening were retrospectively collected. Propensity score matching (PSM) was performed in a ratio of 1:1 for control and ESPB groups. The primary outcome was opioid consumption at 24 h after surgery. Secondary outcomes was visual analog scale (VAS) pain scores at rest in the first 24 h. Additional secondary outcomes included number of patients requesting rescue analgesia, incidence of nausea and vomiting, time to the first request for analgesia via patient-controlled analgesia, and length of stay.ResultsA total of 382 patients were included, of whom 119 received ESPB. The mean age of the study patients was 70.6 years old, and 254 (66.5%) were male. After PSM, each group comprised 115 patients. Patients in the ESPB group showed a significantly lower opioid consumption at 24 h after surgery. Compared with the control group, VAS pain scores at rest in the first 24 h, number of patient-controlled intravenous analgesia (PCIA) pump compressions, ratio of patients requesting rescue analgesia, incidence of nausea and vomiting, and length of stay were significantly reduced in the ESPB group. There were no significant differences between the two groups regarding safety outcomes.ConclusionsESPB reduces short-term opioid consumption while providing safe and effective analgesia in elderly patients undergoing posterior lumbar surgery.

引用

页码：1027 / 1037

页数：11