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
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.
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