实用医学杂志2024，Vol.40Issue(2)：202-206,212,6.DOI:10.3969/j.issn.1006-5725.2024.02.013
弓状韧带上腰方肌阻滞对机器人辅助前列腺癌根治术老年患者术后镇痛及炎症反应的影响
Effect of anterior quadratus lumborum block at the lateral supra-arcuate ligament on postoperative analge-sia and inflammatory response in elderly patients undergoing robot-assisted radical prostatectomy
摘要
Abstract
Objective To investigate the effect of ultrasound-guided anterior quadratus lumborum block at lateral supra-arcuate ligament on postoperative analgesia and inflammation response in elderly patients undergoing robot-assisted laparoscopic radical prostatectomy.Methods A total of 60 elderly patients who had undergone robot-assisted laparoscopic radical prostatectomy from June 2022 to June 2023 were randomly divided into a group of ultra-sound-guided anterior quadratus lumborum block at lateral supra-arcuate ligament combined with general anesthesia(observation group,n = 30)and a general anesthesia group(control group,n = 30).Both groups received patient-controlled intravenous analgesia after surgery.The first compression time of an analgesic pump and the numbers of effective compression and remedial analgesia were recorded.The VAS scores at postsurgical hours 2,12,24,and 48 during rest and coughing were recorded.Interleukin-6(IL-6)and systemic immunoinflammatory index(SII)at one day before surgery and two hours,one day and three days after surgery were recorded.Anal exhaust time,length of postoperative hospital stay and occurrence of adverse reactions were recorded.Results The observation group,as compared with the control group,had significantly longer first compression time of an analgesic pump and had fewer numbers of effective compressions and remedial analgesic administrations(P<0.05).The VAS scores during rest and coughing in the observation group were lower than those in the control group at postsurgical hours 2,12,24,and 48(P<0.05).As compared with one day before surgery,both IL-6 and SII in the two groups increased at 2 hours,1,and 3 days after surgery,but the changes in the observation group were lower than those in the control group(P<0.05).As compared with the control group,the observation group had shorter anal exhaust time and length of postoperative hospital stay,and a lower incidence of adverse reactions(P<0.05).Conclusions Ultrasound-guided anterior quadratus lumborum block at lateral supra-arcuate ligament can provide better postoperative analgesia,reduce inflammatory response and accelerate postoperative recovery in elderly patients undergoing robot-assisted laparoscopic radical prostatectomy.关键词
弓状韧带/腰方肌阻滞/前列腺癌根治术/老年患者/术后镇痛/炎症反应Key words
arcuate ligament/quadratus lumborum block/radical prostatectomy/elderly patients/postoperative analgesia/inflammation response分类
医药卫生引用本文复制引用
殷国江,黎笔熙,魏蓬骁,颜玉琴,宋晓阳,李坤..弓状韧带上腰方肌阻滞对机器人辅助前列腺癌根治术老年患者术后镇痛及炎症反应的影响[J].实用医学杂志,2024,40(2):202-206,212,6.基金项目
湖北省卫生健康委科研项目(编号:WJ2021M220) （编号:WJ2021M220）
