Effect of superior arcuate ligamenta quadrate block on analgesia after gynecological laparoscopic to-tal hysterectomy
Objective To investigate the analgesic effect of superior arcuate ligament block on total hysterectomy by gynecological laparoscopic.Methods A total of 100 patients who underwent elective lapa-roscopic total hysterectomy,aged 35-64 years,BMI 18-28 kg/m2,ASA physical status Ⅰ or Ⅱ,were se-lected.The patients were divided into two groups by random number table method:the conventional group(group CG)and the superior arcuate ligament quadratus block group(group AL),50 patients in each group.Group AL received general anesthesia combined with quadrangular block of superior arcuate ligament(0.375％ropivacaine 40 ml).Group CG received general anesthesia with routine tracheal intubation.The time of operation,the total dosage of remifentanil and propofol during the operation,number of effective an-algesic pump compression within 48 hours after the operation,VAS pain scores at rest and activity(turning over)at 2,12,24,and 48 hours after surgery,dizziness,nausea and vomiting,respiratory depression,pruritus,and other anesthesia-related adverse reactions after the operation were compared.Results Compared with group CG,the total dosage of remifentanil and propofol,the number of effective analgesic pump compressions within 48 hours after surgery,the VAS pain scores at 2,12,24,and 48 hours after sur-gery,at rest and moving were significantly lower in group AL(P＜0.05),and there were statistically sig-nificant differences in anesthetic-related adverse reactions such as dizziness,nausea and vomiting and pruri-tus(P＜0.05).There was no significant difference in operation time between the two groups.Conclusion Superior arcuate ligamentum quadratus block can improve the anesthesia effect of laparoscopic total hysterec-tomy,reduce the amount of anesthesia and analgesic drugs,and reduce the degree of postoperative pain with good safety.
Laparoscopic total hysterectomySuperior quadrat block of arcuate ligamentAnes-thetic effectPostoperative analgesia
万方数据
维普
