Effect of Inter Semispinal Plane Block on Perioperative Stress and Analge-sia in Elderly Patients undergoing Posterior Cervical Surgery
Objective To investigate the effects of inter semispinal plane(ISP)block on perioperative stress and anal-gesia in elderly patients undergoing posterior cervical surgery.Methods A total of 60 elderly patients with underwent elective posterior cervical surgery in Hongdu Hospital of Traditional Chinese Medicine of Nanchang City from June to September 2023 were simple randomly selected as the study subjects.The patients were randomly divided into study group and control group using random number table method,with 30 cases in each group.The study group underwent ISP block before anesthesia induction,while the control group underwent anesthesia induction directly.The resting state Visual Analogue Scale(VAS)at 1,4,12,24,48 h after surgery.The use of remedial analgesic drugs within 48 h after surgery,and the use of intraoperative sedative and analgesic drugs,Heart Rate(HR)and Mean Arterial Pressure(MAP)immediately after skin resection,1 h after operation and at exit,serum interleukin-6(IL-6)levels at 24 and 48 h after surgery,and incidence of puncture related complications were compared between the two groups of patients.Results The resting VAS scores at 1,4,12,24 h after operation were(6.87±0.90)points,(5.86±1.01)points,(3.23±1.10)points and(2.47±1.28)points,respectively,which were lower than those in the control group(8.33±0.95)points,(7.23±1.01)points,(3.97±1.10)points,(3.17±1.10)points,and the differences were statistically significant(t=6.110,5.255,3.440,4.873,all P<0.05).There was no significant difference in resting VAS at 48 h after surgery between the two groups(P>0.05).The amount of remedial analgesic drugs and intraoperative sedative and analgesic drugs used in the study group were less than those in the control group within 48 h after surgery,and the differences were statisti-cally significant(both P<0.001).HR and MAP of the study group were lower than those of the control group immedi-ately after incision,1 h after operation and at the time of leaving the room,and the differences were statistically signifi-cant(all P<0.05).Compared with the control group,the serum IL-6 levels in the study group were lower 24,48 h after surgery,and the differences were statistically significant(both P<0.05).No puncture related complications occurred in both groups of patients.Conclusion ISP block can be safely used in elderly patients undergoing posterior cervical sur-gery,can reduce intraoperative stress response,and can provide adequate postoperative analgesia.
Inter semispinal plane blockPosterior cervical surgeryAnalgesiaStress
NETL
NSTL
万方数据
维普
