Anesthesia Comparison of Analgesic Efficacy of TAP and QLB Blocks After Open Radical Retropubic Prostatectomy.

IF 0.7 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Nigerian Journal of Clinical Practice Pub Date : 2025-07-01 Epub Date: 2025-07-28 DOI:10.4103/njcp.njcp_266_25

E Yasar, B Altiparmak, A Pinarbasi, I Akarken, B Ugur

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引用次数: 0

Abstract

Background: Open retropubic radical prostatectomy (ORP) causes moderate pain in the early postoperative period. Uncontrolled postoperative pain may delay recovery and prolong hospital stay. This study compares the effects of transversus abdominis plane (TAP) block versus posterior quadratus lumborum (QLB) block on postoperative opioid use within 24 h after ORP.

Materials and methods: In this randomized controlled trial, patients undergoing ORP under general anesthesia were assigned to receive either a TAP block or a posterior QLB with 20 mL of 0.375% bupivacaine bilaterally. All patients received multimodal analgesia. Postoperative opioid consumption, pain scores, and complications were recorded.

Results: Sixty-two patients were analyzed. Median opioid consumption at 24 h was 100 mg in the TAP group and 150 mg in the QLB group (P = 0.277). Pain scores and satisfaction levels were comparable between groups. No major complications were observed.

Conclusion: Both TAP and QLB blocks provided effective analgesia after ORP. There was no significant difference in 24-h opioid consumption.

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开放性根治性耻骨后前列腺切除术后TAP与QLB阻滞镇痛效果的麻醉比较。

背景：开放性耻骨后根治性前列腺切除术（ORP）术后早期引起中度疼痛。术后不受控制的疼痛可能会延迟恢复并延长住院时间。本研究比较了经腹平面（TAP）阻滞与腰后方肌（QLB）阻滞对ORP术后24小时内阿片类药物使用的影响。材料和方法：在这项随机对照试验中，在全麻下接受ORP的患者被分配接受TAP阻滞或后路QLB，其中20ml的0.375%布比卡因双侧。所有患者均给予多模式镇痛。记录术后阿片类药物用量、疼痛评分和并发症。结果：对62例患者进行分析。24 h时，TAP组阿片类药物的中位消耗为100 mg， QLB组为150 mg （P = 0.277）。疼痛评分和满意度在两组间具有可比性。无重大并发症。结论：TAP和QLB阻滞在ORP后均有较好的镇痛效果。24小时阿片类药物消耗无显著差异。

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

Nigerian Journal of Clinical Practice MEDICINE, GENERAL & INTERNAL-

CiteScore

1.40

自引率

0.00%

发文量

275

审稿时长

4-8 weeks

期刊介绍： The Nigerian Journal of Clinical Practice is a Monthly peer-reviewed international journal published by the Medical and Dental Consultants’ Association of Nigeria. The journal’s full text is available online at www.njcponline.com. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal makes a token charge for submission, processing and publication of manuscripts including color reproduction of photographs.