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El ensayo clínico NCT07496086 para Dolor postoperatorio está reclutando. Consulte la vista de tarjeta del Radar de Ensayos Clínicos y las herramientas de descubrimiento de IA para conocer todos los detalles. O haga cualquier pregunta aquí. | ||
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External Oblique Intercostal Block Versus Transversus Abdominis Plane Combined With Rectus Sheath Block on Postoperative Pain in Laparoscopic Radical Gastrectomy 100 Aleatorizado Novedoso
Los detalles del ensayo clínico están disponibles principalmente en inglés. ¡Sin embargo, IA Trial Radar puede ayudar! Simplemente haga clic en 'Explicar el estudio' para ver y discutir la información del estudio en el idioma que haya seleccionado.
El ensayo clínico NCT07496086 es un estudio intervencionista para Dolor postoperatorio. Su estado actual es: reclutando. El estudio se inició el 20 de marzo de 2026, con el objetivo de reclutar a 100 participantes. Dirigido por General Hospital of Ningxia Medical University, se espera que finalice el 3 de noviembre de 2026. Los datos se actualizaron por última vez en ClinicalTrials.gov el 27 de marzo de 2026.
Resumen
Postoperative pain is highly prevalent following laparoscopic radical gastrectomy. Although Transversus abdominis plane block combined with rectus sheath block(TAP+RSB） can effectively alleviate this pain, it still has many limitations. The external oblique intercostal plane block (EOIB) is a novel nerve block technique that may provide well postoperative analgesia for upper abdominal surgery. Therefore, this study e...Mostrar más
Descripción detallada
Laparoscopic radical gastrectomy (including subtotal and total gastrectomy) is the most commonly used surgical approach for gastric cancer. Although this technique is less invasive than traditional open surgery, more than 50% of patients still experience moderate to severe acute pain in the early postoperative period, making effective postoperative pain management essential. Regional nerve blockade techniques have be...Mostrar más
Título oficial
Effects of Ultrasound-guided External Oblique Intercostal Block Versus Transversus Abdominis Plane Combined With Rectus Sheath Block on Postoperative Pain in Laparoscopic Radical Gastrectomy
Condiciones médicas
Dolor postoperatorioOtros ID del estudio
- Lingzi-2026-2
Número del NCT
Inicio del estudio (real)
2026-03-20
Última actualización
2026-03-27
Fecha de finalización (estimada)
2026-11-03
Inscripción (prevista)
100
Tipo de estudio
Intervencionista
FASE
N/A
Estado general
Reclutando
Objetivo principal
Tratamiento
Método de asignación
Aleatorizado
Modelo de intervención
Paralelo
Enmascaramiento
Doble ciego
Brazos / Intervenciones
| Grupo de participantes | Intervención/Tratamiento |
|---|---|
ExperimentalEOIB After patients entering the operating room, an intravenous line was established, and External Oblique Intercostal Plane Block was performed under ultrasound guidance. | EOIB With the patient in the supine position, a high-frequency linear array probe (6-15 MHz) is used to perform a sagittal parasagittal oblique scan at the level of the 6th rib, between the right anterior axillary line and midclavicular line. The external oblique muscle, intercostal muscles, and ribs are identified. Using an in-plane technique, a 21G, 100mm block needle is inserted from a superomedial to inferolateral dir...Mostrar más |
ExperimentalTAP+RSB After patients entering the operating room, an intravenous line was established, and Transversus abdominis plane block combined with rectus sheath block was performed under ultrasound guidance. | TAP+RSB With the patient in the supine position, above the umbilicus, a linear ultrasound transducer was positioned transversely on the rectus abdominis muscle, and 15 mL of ropivacaine 0.375% was injected into both sides of the aspect between the rectus abdominis muscle and the posterior rectus sheath with a 22G 70-mm block needle using the in-plane technique. At the midaxillary line, a linear ultrasound transducer was posi...Mostrar más |
Resultado primario
Resultado secundario
| Medida de resultado | Descripción de la medida | Periodo de tiempo |
|---|---|---|
Cumulative opioid consumption within 24 hours postoperatively | Cumulative opioid consumption within 24 hours postoperatively. Conversion to morphine equivalent dose (mg) | 24 hours after surgery |
| Medida de resultado | Descripción de la medida | Periodo de tiempo |
|---|---|---|
Pain Intensity | Pain at rest and during coughing will be assessed using the Numerical Rating Scale (NRS, 0-10) at 2, 6, 12, 24, 48, and 72 hours postoperatively.0 represents no pain, and 10 represents the most pain. | 2, 6, 12, 24, 48, and 72 hours postoperatively |
Quality of Recovery | The 15-item Quality of Recovery scale (QoR-15) was used for assessment at 24, 48, and 72 hours postoperatively. The higher the score, the better the recovery quality | 24,48,72 hours after surgery |
sleep quality | Sleep quality was assessed using the Richards-Campbell Sleep Questionnaire (RCSQ) on postoperative nights.0 points represent very poor sleep, while 100 points represent very good sleep | 24,48,72 hours after surgery |
Asistente de participación
Criterios de elegibilidad
Criterios de edad
Adulto, Adulto mayor
Edad mínima
18 Years
Criterios de sexo
Todos
- Patients aged over 18 years
- Classified as ASA I-III
- Scheduled for elective laparoscopic radical gastrectomy under general anesthesia
- Voluntarily participated and provided written informed consent.
- Chronic opioid dependence or prior use of analgesic medications for >3 months;
- Inability to communicate due to severe dementia, language barriers, or terminal illness;
- History of central and/or peripheral nervous system disorders;
- Severe renal insufficiency (serum creatinine >442 μmol/L or requiring renal replacement therapy) or severe hepatic insufficiency (Child-Pugh class C);
- Allergy to local anesthetics.
- Expected to be transferred to ICU after surgery.
- Refuse patient control agenesia after surgery.
General Hospital of Ningxia Medical UniversityContactos centrales del estudio
Contacto: lingzi Yin, Doctoral, 86-951-674-3252, [email protected]
1 Centros del estudio en 1 países
General hospital of Ningxia medical university, Yinchuan, China
lingzi Yin, Doctoral, Contacto, 86-951-674-3252, [email protected]
Reclutando