Effects of Ultrasound-guided Spermatic Cord Block Anesthesia on Stress Response and Complications in Patients Undergoing Scrotal Emergency Surgery
Objective:To explore the effects of ultrasound-guided spermatic cord block anesthesia on stress response and complications in patients undergoing scrotal emergency surgery.Methods:A total of 60 patients undergoing scrotal emergency surgery in the hospital were enrolled between October 2020 and December 2022.According to random number table method,they were divided into observation group(n=30)and control group(n=30).The control group was given blind-probing puncture,while observation group was given ultrasound guidance.The success rate of block,number of cases with anesthesia modes change,additional anesthesia drugs and complications,scores of Visual Analogue Scale(VAS)at different time points,levels of stress response index[cortisol(Cor)],antioxidant index[superoxide dismutase(SOD)]and inflammatory factors[interleukin-6(IL-6),interleukin-8(IL-8)]before and after surgery were compared between the two groups.Results:The success rate of block in observation group was higher than that in control group(90.00％vs 66.67％,P＜0.05),and change rate of anesthesia modes was lower than that in control group(6.67％vs 30.33％,P＜0.05).There was no significant difference in the number of cases with additional anesthesia drugs between the two groups(P＞0.05).At 5 min after the start of surgery,4 h,8 h and 12 h after surgery,VAS scores in observation group were lower than those in control group(P＜0.05).At 24h after surgery,Cor,IL-6 and IL-8 in both groups were increased,which were lower in observation group than control group(P＜0.05),while SOD was decreased,which was higher in observation group than control group(P＜0.05).The incidence rates of hematoma and punctured blood vessel in observation group were 6.67％and 10.00％,lower than those in control group(30.00％,36.67％,P＜0.05).Conclusion:Spermatic cord block anesthesia has good block effect in patients undergoing scrotal emergency surgery,which can bring better analgesic effect and reduce postoperative stress and inflammation response.
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NSTL
万方数据
维普
