| Objective To explore whether scalp nerve block with ropivacaine can improve the recovery quality in patients undergoing meningioma resection surgery.Methods The Patients undergoing selective meningioma resection were randomly divided into ropivacaine group(group R)and saline control group(group S)according to 1:1 ratio.Two groups of patients were given general anesthesia by tracheal catheter.In group R,scalp nerve block was performed with 0.5% ropivacaine after induction of anesthesia and 15 minutes before erection of head rack.In group S,equal amount of saline was injected.The main research indicators were Karnofsky functional status score(KPS score)on the third day after operation.Secondary research indicators: KPS score at discharge;satisfaction score after anesthesia recovery;visual analogue scale(VAS)and total use of analgesics at 1,2 and 3 days after operation;and total use of analgesics at 1,2 and 3 days after operation.Results One hundred and twenty-two patients were included,with 64 in group R and 58 in group S.KPS score was significantly higher in group R than that in group S on the third day after operation(72.03 vs 67.75,P<0.05),but there was no significant difference between the two groups at discharge.The MAP and HR were significantly lower at multiple time points during operation,the satisfaction score of anesthesia was significantly higher,the VAS scores on the 1st,2nd and 3rd day post-operatively and the NRS scores on the 1st and 2nd day post-operatively were significantly lower in patients from group R than those from group S.Conclusion In patients undergoing selective craniotomy for meningioma,scalp nerve block with ropivacaine significantly improves the patients' short-term recovery quality,which is very possibly because the block can stabilize intraoperative hemodynamics,relieve postoperative pain and inihbit postoperative nausea and vomiting. |
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