Effects of Continuous Erector Spinae Plane Block on the Postoperative Sleep Quality for Patients Undergoing Thoracoscopic Lung Lobe Resection Surgery: A Prospective, Randomized Controlled Trial.

IF 3 2区医学 Q2 CLINICAL NEUROLOGY

Nature and Science of Sleep Pub Date : 2024-12-09 eCollection Date: 2024-01-01 DOI:10.2147/NSS.S480333

Qian Zhang, Xian Lu, Wen Zhang, Zhenyu Zhong, Lili Wang, Yuhan Qiao, Fei Ling, Xinyuan Qiu, Yueying Zhang

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引用次数: 0

Abstract

Purpose: To investigate the effect of continuous erector spinae plane block (ESPB) on postoperative sleep in patients undergoing thoracoscopic lung lobe resection surgery.

Patients and methods: Eighty-six patients were randomly assigned into two groups: ESPB group (Group E) or control group (Group P). Group E received ESPB before induction, followed by continuous ESPB analgesia, while Group P received postoperative intravenous controlled analgesia. The Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to assess postoperative sleep disturbance (PSD) on the postoperative day 3 (POD3). The St. Mary's Hospital Sleep Questionnaire (SMH) evaluated sleep quality on the day of surgery and postoperative day 1 (POD1) and postoperative day 2 (POD2). The Identity Consequence Fatigue Scale-10 (ICFS-10) was utilized to evaluate postoperative fatigue status. Numeric Rating Scale (NRS) scores at resting and coughing were recorded at extubation, 6 h, 24 h, 48 h, 72 h after surgery. Consumption of propofol, remifentanil, and remedial analgesics (bucinazine), hospital duration, occurrence of postoperative adverse reactions were documented. Interleukin-6 (IL-6) and interleukin-10 (IL-10) serum levels were measured before surgery, 12 h, 24 h, 48 h after surgery.

Results: The incidence of PSD in group E on POD3 was significantly lower than group P (75% vs 25%). Patients in group E had higher SMH scores than group P on the day of surgery and POD2. Compared with group P, the NRS scores of resting and coughing at all time points, remifentanil and bucinazine consumption, postoperative ICFS-10 scores, the incidence of nausea and vomiting, IL-6 serum levels in group E were significantly decreased. The IL-10 serum levels in group E were significantly higher than those in group P.

Conclusion: The continuous ESPB can improve postoperative sleep quality, alleviate pain, fatigue and inflammation, and reduce the incidence of postoperative nausea and vomiting.

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连续性脊束肌平面阻滞对胸腔镜肺叶切除手术患者术后睡眠质量的影响：前瞻性随机对照试验。

目的：研究连续性竖脊肌平面阻滞（ESPB）对胸腔镜肺叶切除手术患者术后睡眠的影响：将 86 名患者随机分为两组：ESPB组（E组）或对照组（P组）。E 组在诱导前接受 ESPB，随后接受持续 ESPB 镇痛，而 P 组接受术后静脉控制镇痛。采用匹兹堡睡眠质量指数（PSQI）问卷评估术后第3天（POD3）的术后睡眠障碍（PSD）。圣玛丽医院睡眠问卷（SMH）评估了手术当天、术后第1天（POD1）和术后第2天（POD2）的睡眠质量。身份后果疲劳量表-10（ICFS-10）用于评估术后疲劳状况。在拔管、术后 6 小时、24 小时、48 小时和 72 小时记录休息和咳嗽时的数字评分量表（NRS）得分。记录了异丙酚、瑞芬太尼和补救镇痛药（布昔纳嗪）的用量、住院时间、术后不良反应的发生情况。术前、术后12小时、24小时和48小时测定白细胞介素-6（IL-6）和白细胞介素-10（IL-10）血清水平：结果：E组POD3的PSD发生率明显低于P组（75%对25%）。E 组患者在手术当天和 POD2 的 SMH 评分均高于 P 组。与 P 组相比，E 组在所有时间点的休息和咳嗽 NRS 评分、瑞芬太尼和布西那嗪用量、术后 ICFS-10 评分、恶心和呕吐发生率、IL-6 血清水平均明显降低。E组的IL-10血清水平明显高于P组：连续ESPB可改善术后睡眠质量，减轻疼痛、疲劳和炎症，降低术后恶心和呕吐的发生率。

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来源期刊

Nature and Science of Sleep Neuroscience-Behavioral Neuroscience

CiteScore

5.70

自引率

5.90%

发文量

245

审稿时长

16 weeks

期刊介绍： Nature and Science of Sleep is an international, peer-reviewed, open access journal covering all aspects of sleep science and sleep medicine, including the neurophysiology and functions of sleep, the genetics of sleep, sleep and society, biological rhythms, dreaming, sleep disorders and therapy, and strategies to optimize healthy sleep. Specific topics covered in the journal include: The functions of sleep in humans and other animals Physiological and neurophysiological changes with sleep The genetics of sleep and sleep differences The neurotransmitters, receptors and pathways involved in controlling both sleep and wakefulness Behavioral and pharmacological interventions aimed at improving sleep, and improving wakefulness Sleep changes with development and with age Sleep and reproduction (e.g., changes across the menstrual cycle, with pregnancy and menopause) The science and nature of dreams Sleep disorders Impact of sleep and sleep disorders on health, daytime function and quality of life Sleep problems secondary to clinical disorders Interaction of society with sleep (e.g., consequences of shift work, occupational health, public health) The microbiome and sleep Chronotherapy Impact of circadian rhythms on sleep, physiology, cognition and health Mechanisms controlling circadian rhythms, centrally and peripherally Impact of circadian rhythm disruptions (including night shift work, jet lag and social jet lag) on sleep, physiology, cognition and health Behavioral and pharmacological interventions aimed at reducing adverse effects of circadian-related sleep disruption Assessment of technologies and biomarkers for measuring sleep and/or circadian rhythms Epigenetic markers of sleep or circadian disruption.