Analgesic Effect of Ultrasound-guided ESPB in Retroperitoneal Extraperitoneal Laparoscopic Surgery and the Ef-fect on Vital Signs Index,VAS,and Comfort Score

Bu Yanan; Xue Jinlei

doi:10.3969/j.issn.1004-5775.2023.23.003

Abstract：Objective:To investigate the analgesic effect of ultrasound-guided erector spinae plane block(ESPB)in posterior extraperitoneal laparoscopic surgery and the effect on vital sign indicators,cisual analog scale(VAS)pain score,and comfort score.Methods:145 patients admitted to the hospital for retroperitoneal episiotomy from January 2020 to June 2022 were selected for the study and were divided into control group(n=72)and observation group(n=73)using the random number table method.The control group received general anesthesia with tracheal intubation,and the observation group received general anesthesia with tracheal intubation preceded by ultrasound-guided ESPB.The vital signs(heart rate and mean arterial pressure),pain level(VAS score),comfort level scale(BCS)score,and adverse effects were compared between the two groups.Results:There was no statistically sig-nificant difference in heart rate and mean arterial pressure between the two groups of patients at t1,t2,t3 and t4(t=1.6834,1.8482,1.7399,1.7494,0.6387,0.7817,1.5779,0.5542,P＞0.05).The VAS scores at 3 h,12 h,and 24 h postoperatively were low-er in the observation group than in the control group,with statistically significant differences(t=34.6829,36.1259,28.9776,P＜0.05).The BCS scores at 3 h,12 h,and 24 h postoperatively were higher in the observation group than in the control group,with statistically significant differences(t=100.4104,49.0955,45.8380,P＜0.05).The incidence of adverse reactions in the observa-tion group was lower than that in the control group,and the difference was not statistically significant(χ2=0.1139,P＞0.05).Con-clusion:The application of ultrasound-guided ESPB to extraperitoneal laparoscopic surgery was safe and effective with good postop-erative analgesia and high patient comfort.