| dc.description.abstract | Background: The increasing prevalence of spinal surgery can lead to postoperative
pain, triggering stress responses and elevating blood glucose levels, which in turn
affects treatment outcomes. Postoperative pain management, such as with
Ropivacaine infiltration, is important for reducing stress responses and stabilizing
glucose levels. This study aimed to examine the effects of Ropivacaine on changes
in blood glucose levels and pain levels after spinal surgery.
Methods: This research employed a randomized controlled trial design to observe
the effects of 0.5% ropivacaine infiltration on blood glucose levels and pain scores
following spinal surgery, conducted in several hospitals in the city of Medan.
Patients with diabetes, heart/kidney/adrenal issues, ropivacaine hypersensitivity,
or chronic steroid/opioid use were excluded. Participants were recruited through
sequential sampling and randomized to ropivacaine infiltration or a control group,
with drop-out criteria including intraoperative death or postoperative intubation.
Results were considered significant if p < 0.05.
Results: In this study, 19 subjects (67.9%) were male and 9 (32.1%) were female,
with a mean age of 54.96 years (SD = 7.62). The mean NRS scores were compared
between the infiltration and non-infiltration groups. At T1, the infiltration group
had a mean NRS of 2.21 (SD = 0.57), while the non-infiltration group had a mean
of 4.71 (SD = 0.72), indicating a significant difference (p < 0.001). Postoperative
blood glucose levels did not significantly differ between the ropivacaine infiltration
and non-infiltration groups.
Conclusion: In this study, there was no significant difference in random blood sugar
levels either preoperatively or postoperatively in the two different groups. There
was a difference in NRS values in the group of ropivacaine administration by
infiltration into the surgical wound and without infiltration, where the group of
ropivacaine administration had a lower NRS value.
Keywords: Spinal surgery, Ropivacaine, blood glucose level, numeric rating scale | en_US |
