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임상시험 NCT07496086은(는) 수술 후 통증에 대해 모집중 상태입니다. 모든 세부 정보를 보려면 임상시험 레이더 카드 뷰와 AI 발견 도구를 확인하거나 여기에서 무엇이든 물어보세요.
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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 무작위 배정 신규 요법

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임상시험 NCT07496086은(는) 수술 후 통증에 대해 알아보는 중재연구입니다. 현재 상태는 모집중이며, 연구는 2026년 3월 20일에 시작되어 100명의 참여자를 모집하고 있습니다. General Hospital of Ningxia Medical University이(가) 진행하며, 2026년 11월 3일까지 완료될 예정입니다. ClinicalTrials.gov의 가장 최근 정보는 2026년 3월 27일에 갱신되었습니다.
간단한 개요
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...더 보기
상세한 설명
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...더 보기
공식 제목

Effects of Ultrasound-guided External Oblique Intercostal Block Versus Transversus Abdominis Plane Combined With Rectus Sheath Block on Postoperative Pain in Laparoscopic Radical Gastrectomy

질환명
수술 후 통증
기타 연구 식별자
  • Lingzi-2026-2
NCT 번호
NCT07496086
실제 연구 시작일
2026-03-20
최신 업데이트 게시
2026-03-27
예상 연구 완료일
2026-11-03
계획된 등록 인원
100
연구종류
중재연구
단계/상
해당 없음
상태
모집중
주요 목적
치료
설계 할당
무작위배정
중재 모델
평행설계
맹검 (마스킹)
이중맹검
시험군 / 개입
참가자 그룹/시험군개입/치료
실험적EOIB
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...더 보기
실험적TAP+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...더 보기
주요결과변수
결과변수측정값 설명시간 범위
Cumulative opioid consumption within 24 hours postoperatively
Cumulative opioid consumption within 24 hours postoperatively. Conversion to morphine equivalent dose (mg)
24 hours after surgery
이차결과변수
결과변수측정값 설명시간 범위
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
참여 도우미
적격성 기준

연령대
성인, 노인
최소 연령
18 Years
참여 가능한 성별
전체
  • 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 University logoGeneral Hospital of Ningxia Medical University
연구 대표 연락처
연락처: lingzi Yin, Doctoral, 86-951-674-3252, [email protected]
1 1개국에 임상시험 장소
General hospital of Ningxia medical university, Yinchuan, China
lingzi Yin, Doctoral, 연락처, 86-951-674-3252, [email protected]
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