Research Article

Comparison of the Postoperative Analgesic Effects between Ultrasound-Guided Transmuscular Quadratus Lumborum Block and Thoracic Paravertebral Block in Laparoscopic Partial Nephrectomy Patients: A Randomized, Controlled, and Noninferiority Study

Table 2

Postoperative cumulative morphine consumption and pain NRS of transmuscular quadratus lumborum block and paravertebral block at different time points.

TMQLB groupTPVB groupDifference (95% CI) value

Sample size, n3030
Mean postoperative cumulative morphine consumption (SD) in mg
 48-hour10.60 (5.28)6.40 (3.40)4.20 (1.90, 6.50)0.001
 4-hour1.64 (1.88)1.00 (1.41)0.64 (−0.22, 1.50)0.139
 12-hour4.75 (4.03)2.67 (2.27)2.09 (0.38, 3.79)0.017
 24-hour7.69 (5.07)4.08 (2.73)3.61 (1.49, 5.73)0.001
Pain NRS at rest (SD) in points
 0-hour0.73 (1.05)0.53 (1.07)0.20 (−0.35, 0.75)0.468
 4-hour1.53 (1.25)1.52 (1.51)0.02 (−0.70, 0.73)0.963
 12-hour2.33 (1.79)2.45 (1.50)−0.12 (−0.97, 0.74)0.785
 24-hour1.73 (1.48)1.53 (1.27)0.20 (−0.51, 0.91)0.577
 48-hour1.03 (1.10)0.92 (1.07)0.12 (−0.44, 0.68)0.678
Pain NRS on movement (SD) in points
 0-hour1.30 (1.58)0.63 (0.93)0.67 (0.00, 1.34)0.051
 4-hour3.07 (1.46)2.72 (1.53)0.35 (−0.42, 1.12)0.368
 12-hour3.70 (1.74)3.63 (1.03)0.07 (−0.67, 0.81)0.857
 24-hour3.33 (1.56)3.30 (1.00)0.03 (−0.64, 0.71)0.922
 48-hour2.53 (1.41)2.42 (1.11)0.12 (−0.54, 0.77)0.723
Mean sensory block dermatomes (SD) in segments
 Segments8 (4)5 (3)2 (1, 4)0.004
 Rescue rate, n (%)4 (13.3%)4 (13.3%)1.00 (0.23, 4.43)1.000

TMQLB: transmuscular quadratus lumborum block, TPVB: thoracic paravertebral block, NRS: numerical rating scale, OR: odds ratio, CI: confidence interval, SD: standard deviation. Significant statistical difference.