Pain relief and functional status after vaginal hysterectomy: intrathecal versus general anesthesia: (Le controle de la douleur et l'etat fonctionnel apres l'hysterectomie vaginale : l'anesthesie intrathecale versus l'anesthesie generale).

摘要

PURPOSE: We tested the hypothesis that the use of subarachnoid block (SAB) for vaginal hysterectomy produces superior postoperative analgesia and improves functional status at 12 weeks postoperatively. METHODS: In this randomized controlled trial 89 patients received either standardized general anesthesia vs SAB with bupivacaine, clonidine, and morphine. Postoperatively, patients in both groups received multimodal pain management. Primary outcomes included evaluation of pain and functional status (SF-36 Health Survey) over the 12 postoperative weeks. RESULTS: Pain was well controlled throughout the study, as judged from the average pain numerical scale scores of