Clinical study on the effect of ultrasound-guided rectus abdominis nerve block on the outcome of patients undergoing gynecological single-hole laparoscopic surgery
Objective To provide reference for clinical control of pain after gynecological single-hole laparoscopic surgery and im-provement of postoperative outcome.Method A total of 120 patients with gynecological single-hole laparoscopic surgery admitted to our hospital from December 2021 to December 2022 were selected as research subjects,according to ASA grade Ⅰ-Ⅱ,the patients were randomly divided into three groups:Postoperative rectus abdominis posterior sheath injection group(group P,n=40),Ultrasound-guided analgesia with posterior sheath nerve block of rectus abdominis;Postoperative rectus abdominis intramuscular injection group(group D,n=40),underwent ultrasound-guided intramuscular nerve block analgesia;and control group(n=40),without rectus ab-dominis nerve block,the differences between the three groups after the operation are compared.Results The visual analogue score(VAS),Ramsay sedation score,DSIS were compared among the three groups on the same day,1 day,2 days,1 week,1 month after operation,among which the VAS,Ramsay sedation score,DSIS in the P group and the control group were significantly stronger than those in the control group(P<0.05);The VAS,Ramsay sedation score,DSIS in group D and control group were also significantly stronger than those in control group(P<0.05);There was no significant difference between group D and group P in VAS,Ramsay se-dation score,DSIS(P>0.05).Conclusion Ultrasound-guided rectus abdominis nerve block has a good analgesic effect on the patients after gynecological single-hole laparoscopic surgery,but it has no significant difference whether the rectus abdominis intramuscular in-jection or the rectus abdominis posterior sheath injection.
NETL
NSTL
万方数据
