Ultrasound-guided erector spinae plane block in patients with chronic lumbar facet joint pain: A prospective case-controlled study.

IF 2.5 3区医学 Q2 ANESTHESIOLOGY

Pain Practice Pub Date : 2024-07-01 Epub Date: 2024-03-08 DOI:10.1111/papr.13367

Ayşe Merve Ata, Bilge Kesikburun, Miray Karamehmetoğlu, Emre Adıgüzel

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引用次数: 0

Abstract

Purpose: The aim was to evaluate the efficacy of ultrasound-guided erector spinae plane (ESP) block and compare with the conventional physical therapy in chronic low back pain (LBP).

Materials and methods: This prospective case-controlled study included patients with chronic LBP. Their clinical and demographic data were obtained, and they were divided into two groups for conventional physical therapy and ESP blocks. Prior to treatment, on the first day, the second week, and the third month, the Oswestry Disability Index (ODI) and visual analog scale (VAS) pain score were evaluated.

Results: The study included 43 patients, 21 in the ESP block group and 22 in the conventional physical therapy group. The VAS in movement was higher in the ESP block group at baseline (p = 0.047). On the first day after the treatments, the ESP block group showed lower resting (p < 0.001) and movement (p = 0.001) VAS values than the conventional physical therapy group. At the end of 3 months, both groups had improved VAS and ODI scores (all p < 0.001).

Conclusion: US-guided ESP block might be considered a successful, safe, and technically simple alternative treatment in patients with chronic LBP to control pain and reduce the cost of physical therapy and lost workdays.

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慢性腰椎面关节疼痛患者的超声引导竖脊肌平面阻滞：前瞻性病例对照研究

目的：旨在评估超声引导下竖脊平面（ESP）阻滞治疗慢性腰背痛（LBP）的疗效，并与传统物理疗法进行比较：这项前瞻性病例对照研究纳入了慢性腰背痛患者。材料：这项前瞻性病例对照研究纳入了慢性腰背痛患者，获得了他们的临床和人口统计学数据，并将他们分为两组，分别接受常规物理治疗和 ESP 阻滞治疗。在治疗前的第一天、第二周和第三个月，对患者的奥斯韦特里残疾指数（ODI）和视觉模拟量表（VAS）疼痛评分进行评估：研究包括 43 名患者，其中 ESP 阻滞治疗组 21 人，传统物理治疗组 22 人。基线时，ESP阻滞组患者的运动疼痛VAS评分更高（P = 0.047）。在治疗后的第一天，ESP 阻滞组患者的静息状态较低（p 结论：ESP 阻滞组患者的静息状态较好，而传统理疗组患者的静息状态较差：对于慢性腰椎间盘突出症患者来说，US 引导下的 ESP 阻滞疗法可能是一种成功、安全且技术简单的替代疗法，既能控制疼痛，又能减少物理治疗费用和工作日损失。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pain Practice ANESTHESIOLOGY-CLINICAL NEUROLOGY

CiteScore

5.60

自引率

3.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Pain Practice, the official journal of the World Institute of Pain, publishes international multidisciplinary articles on pain and analgesia that provide its readership with up-to-date research, evaluation methods, and techniques for pain management. Special sections including the Consultant’s Corner, Images in Pain Practice, Case Studies from Mayo, Tutorials, and the Evidence-Based Medicine combine to give pain researchers, pain clinicians and pain fellows in training a systematic approach to continuing education in pain medicine. Prior to publication, all articles and reviews undergo peer review by at least two experts in the field.