Effect of thoracic paravertebral block and erector spinae plane block on postoperative gastrointestinal function and quality of recovery in patients undergoing thoracoscopic lobectomy: a randomized controlled trial

作者：Min Zhao, Y H Zhang, Xiaorui Wang, Xiaorui Zhang, Chen-Bin Huang, Jianwen Zhang · 发表于：Annals of Medicine · 年份：2025 · DOI：10.1080/07853890.2025.2557508 · 被引用次数：3 · 研究领域：Enhanced Recovery After Surgery、Anesthesia and Pain Management、Nausea and vomiting management

Objective This study aimed to investigate the effects of thoracic paravertebral block (TPVB) and erector spinae plane block (ESPB) on postoperative gastrointestinal function and quality of recovery (QoR) in patients undergoing thoracoscopic lobectomy.Methods Ninety-six patients were randomized into three groups: general anesthesia alone (Group G), general anesthesia + TPVB (Group GT), and general anesthesia + ESPB (Group GE). The primary outcome was the incidence of postoperative abdominal distention, while secondary outcomes included time to first exhaust/defecation, bowel sound recovery, postoperative nausea and vomiting (PONV), QoR-15 scores, pain intensity (VAS), perioperative sufentanil consumption, and hospital stay.Results Both GT and GE groups demonstrated significantly lower abdominal distention rates (all p < 0.05) and reduced PONV incidence compared to G (all p < 0.05). Time to first exhaust and defecation were shorter in intervention groups(all p < 0.001). Bowel sound recovery rates at 12–48 h postoperatively were higher in GT and GE compared to G (all p ≤ 0.020). QoR-15 scores at 12, 24, and 48 h were elevated in GT and GE versus G (all p < 0.001). VAS pain scores at 1–12 h and sufentanil consumption were lower in GT and GE (p < 0.001). Hospital stay was shorter in intervention groups (all p < 0.001).Conclusions The preoperative ultrasound-guided single TPVB and ESPB could reduce the postoperative abdominal distention rates, shorten the time to first exhaust and ...