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已发表论文
腰方肌阻滞联合改良竖脊肌平面阻滞与 PENG 阻滞联合股外侧皮神经阻滞在全髋关节置换术后镇痛和功能恢复中的比较：一项回顾性倾向评分匹配研究
Authors Wu X, Wang M, Du M, Wang Y, Chen X, Zhang D, Xu Y
Received 15 September 2025
Accepted for publication 7 January 2026
Published 13 January 2026 Volume 2026:19 567827
DOI https://doi.org/10.2147/JPR.S567827
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Rushna Ali
Xi Wu,1– 3,* Meiying Wang,1– 3,* Mengqi Du,1– 3 Yu Wang,1– 3 Xiangdong Chen,1– 3 Dingyu Zhang,4 Younian Xu1
1Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China; 2Institute of Anesthesia and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China; 3Key Laboratory of Anesthesiology and Resuscitation (Huazhong University of Science and Technology), Ministry of Education, Wuhan, People’s Republic of China; 4Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Shanghai, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Dingyu Zhang, Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China, Email zhangdingyu2021@126.com Younian Xu, Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China, Email xyn0103@hust.edu.cn
Purpose: Ultrasound-guided quadratus lumborum plus modified erector spinae plane (QLESP) block and pericapsular nerve group (PENG) plus lateral femoral cutaneous nerve (LFC) block are novel regional analgesia techniques for total hip arthroplasty (THA). This retrospective study aimed to compare the analgesic efficacy and opioid-related outcomes of the QLESP block and the PENG + LFC block following THA.
Methods: This retrospective study included 2180 patients who underwent THA between January 2022 and December 2024. In this study, 272 patients received the QLESP block (QLESP group) and 420 patients accepted the PENG + LFC block (PELF group). Propensity score matching (PSM) was performed to match patients in a 1:1 ratio.
Results: Of 2180 patients identified, 256 pairs between QLESP group and PELF group were successfully matched. In the match cohort, the QLESP group demonstrated significantly lower cumulative sufentanil consumption (QLESP: 13.0 ± 1.3 μg; PELF: 14.6 ± 3.3 μg; p < 0.001) and patient-controlled intravenous analgesia (PCIA) frequency (QLESP: 1 (0– 3); PELF: 2 (0– 4); P < 0.001) at 6 hours postoperatively compared to the PELF group. Additionally, the QLESP group was associated with a lower incidence of rescue analgesia (QLESP: 9.0%; PELF: 15.2%; P = 0.030) and a shorter postoperative length of stay (QLESP: 10.6 ± 6.0 days; PELF: 11.7 ± 6.2 days; P = 0.038). No significant differences were found in visual analogue scale (VAS) or time to first walk.
Conclusion: This observational study suggested that the QLESP block was associated with a modest reduction in early postoperative sufentanil consumption, PCIA frequency at 6 hours, and postoperative length of stay for total hip arthroplasty, compared to PENG + LFC block. Given the inherent limitations of the retrospective PSM design, the routine incorporation of these blocks into enhanced recovery pathways for total hip arthroplasty in clinical practice warrants further large randomized controlled trials.
Keywords: erector spinae plane block, lateral femoral cutaneous nerve, pericapsular nerve group block, postoperative analgesia, quadratus lumborum block, total hip arthroplasty
1Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China; 2Institute of Anesthesia and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China; 3Key Laboratory of Anesthesiology and Resuscitation (Huazhong University of Science and Technology), Ministry of Education, Wuhan, People’s Republic of China; 4Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Shanghai, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Dingyu Zhang, Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China, Email zhangdingyu2021@126.com Younian Xu, Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China, Email xyn0103@hust.edu.cn
Purpose: Ultrasound-guided quadratus lumborum plus modified erector spinae plane (QLESP) block and pericapsular nerve group (PENG) plus lateral femoral cutaneous nerve (LFC) block are novel regional analgesia techniques for total hip arthroplasty (THA). This retrospective study aimed to compare the analgesic efficacy and opioid-related outcomes of the QLESP block and the PENG + LFC block following THA.
Methods: This retrospective study included 2180 patients who underwent THA between January 2022 and December 2024. In this study, 272 patients received the QLESP block (QLESP group) and 420 patients accepted the PENG + LFC block (PELF group). Propensity score matching (PSM) was performed to match patients in a 1:1 ratio.
Results: Of 2180 patients identified, 256 pairs between QLESP group and PELF group were successfully matched. In the match cohort, the QLESP group demonstrated significantly lower cumulative sufentanil consumption (QLESP: 13.0 ± 1.3 μg; PELF: 14.6 ± 3.3 μg; p < 0.001) and patient-controlled intravenous analgesia (PCIA) frequency (QLESP: 1 (0– 3); PELF: 2 (0– 4); P < 0.001) at 6 hours postoperatively compared to the PELF group. Additionally, the QLESP group was associated with a lower incidence of rescue analgesia (QLESP: 9.0%; PELF: 15.2%; P = 0.030) and a shorter postoperative length of stay (QLESP: 10.6 ± 6.0 days; PELF: 11.7 ± 6.2 days; P = 0.038). No significant differences were found in visual analogue scale (VAS) or time to first walk.
Conclusion: This observational study suggested that the QLESP block was associated with a modest reduction in early postoperative sufentanil consumption, PCIA frequency at 6 hours, and postoperative length of stay for total hip arthroplasty, compared to PENG + LFC block. Given the inherent limitations of the retrospective PSM design, the routine incorporation of these blocks into enhanced recovery pathways for total hip arthroplasty in clinical practice warrants further large randomized controlled trials.
Keywords: erector spinae plane block, lateral femoral cutaneous nerve, pericapsular nerve group block, postoperative analgesia, quadratus lumborum block, total hip arthroplasty