机器人外科学杂志（中英文）2024，Vol.5Issue(4)：608-614,7.DOI:10.12180/j.issn.2096-7721.2024.04.021
超声引导下腰方肌阻滞在子宫肌瘤患者机器人辅助手术中的镇痛效果、应激水平及苏醒质量相关分析
Analysis on the analgesic effect,stress level and recovery quality of ultrasound-guided quadratus lumborum block in robot-assisted surgery for patients with uterine fibroids
摘要
Abstract
Objective:To explore the analgesic effect of ultrasound-guided quadratus lumborum block in robot-assisted surgery for patients with uterine fibroids and its effect on stress level and quality of awakening.Methods:80 patients with uterine fibroids who underwent robot-assisted uterine myomectomy at Taihe hospital from May 2020 to May 2023 were prospectively selected.They were randomly divided into the control group and the observation group using random number table method.The control group(n=40)received total intravenous anesthesia(TIVA),while the observation group(n=40)received ultrasound-guided quadratus lumborum block before general anesthesia.The anesthesia effects of the two groups were compared.Results:Compared to the control group,the observation group had shorter time for removing the endotracheal tube,eye opening to speech,recovery room staying time,postoperative mobilization time,and directional force recovery time.The dosage of propofol and the number of analgesic pump press at 24 hours after surgery were lower than those in the control group.The rate of postoperative agitation was lower in the observation group than that in the control group.Meanwhile,the observation group had a lower postoperative VAS scores compared to the control group.Intraoperative and postoperative SpO2,MAP,and HR were higher in the observation group than those in the control group,and the NE,COR,and GLU levels were lower in the observation group than those in the control group.Conclusion:Ultrasound-guided quadratus lumborum block is more effective for patients with uterine fibroids undergoing robot-assisted surgery,which could provide patients with better analgesia and sedation,shorten recovery time,stabilize perioperative hemodynamics,and reduce stress on the body.关键词
超声引导/腰方肌阻滞/子宫肌瘤/机器人辅助手术/镇痛/应激水平/苏醒质量Key words
Ultrasound-guided/Quadratus Lumborum Block/Uterine Fibroid/Robot-assisted Surgery/Analgesia/Stress Level/Awakening Quality分类
医药卫生引用本文复制引用
宋晓雨,陈炫龙,孙艳芳..超声引导下腰方肌阻滞在子宫肌瘤患者机器人辅助手术中的镇痛效果、应激水平及苏醒质量相关分析[J].机器人外科学杂志（中英文）,2024,5(4):608-614,7.基金项目
湖北省卫生健康委员会科研项目(WJ2020M255) Scientific Research Program of Health Commission of Hubei Province(WJ2020M255) （WJ2020M255）
